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fbrm 668 OEPARTMENT OF iHE TitEIIYJRY-NTERNAI REVENUE SfRVKE For ~o~?pnol U,e By Recwdng afFx
{r~v. ~.~o; NOTICE OF FEDERAI TAX UEN UNDER INTEitNAt REVENUE U1WS St_ IUCiE COUNTY F~A.
DISTRICT SERIAI NUMBER ROCER POITRAS
JACiCSGIVILLE, FLQ~IQA CIERK Cit~CWT COtlRT
RECORit YE4+FtEU
Punuont to the prov~sions of Sectians 6321, 6322, ond 6323 of the Internol Reve- ~'S 8 s9 AH
nue Code, notice is hereby given thaf there have been assessed under the internal
Revenue lows of the United Stutes against the following-named toxpoyer, taxes (includ-. •
ing ~nterest and peno{ties) which after demand for poyment thereof remain unpaid. and -
that by virtue of the above-mentioned stotutes the amount of soid toxes, together with 24~~i 3~
penolties, interest, ond cosis tha~ may accrue in odd+tion thereto, is a lien in fa~or of
- the United $tates upon oll property and righh to property belonging to said taxpayer.
NAME OF TAXPAYER
Ar ur E Mc rm c
RESIDENCE
4001 Avenue P
F r P erc F orida 3
UNPAID BALANCE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
(aI (bl kl 1d1 ~e~
Atlanta, Ga.
i 940 Futa 12-31-69 03-12-71 58-8966223 $ 76.47
Atlanta, Ga.
941 Mithtdding 09-30-70 12-11-?0 58-0965223 4~445.81
Atlanta, Ga.
941 ~lithholding 12-31-70 02-26-?1 58-0965223 4~416.05
Atlanta, Ga.
941 Withholding 03-31-?1 02-26-71 58-0965223 . 1,198.67 ~
Atlanta ~ Ga. .
940 Futa 12-31-70 02-26-71 58-0965223 1~628.85
~
~ PLACE OF FILING
~ Clerk~ Circuit Court - TOTAL i 11,765.85 '
St. Lucie County
~
Fort Pierce, Florida
~
~ WITNESS my hond at West Palm Beach~ Florida , o~ ~+~s.
~ 13 h f Novem~~, t 9 ~
B60K ~ ~ ~
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~ ~ nciztac c~a~uP supQtvisaR
(NOTE: Certificote oF of~'icer avthoraed by law to take «knowledgm~,K K ~a ase~~d ro~he ~a~~dil~? of Notioe of Federd Tax lien G.CJN.
26419, C.B. 1950-51, 145.)
PART 1-To be retoin~d bp rocordiag oAic~
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