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Fwm 668 OEPARTAAENT OF iHE iREASURY-M(TECN~IL CEVEiJu[ SERYKE . for Opfiaal Use 6Y Recnrd~ng OiFcY
~r~v. ~-~o~ NOTICE OF FEDERAL TAX liQ! UNDEit tNTERNAI REVENUE LAYYS .st~.
lUC E COUNTY FIA.
DISTRICT ' SERIAL NUMBER ~ ROC~F. raiTitAS
CIERK CiNCUiT COURT 4
_ RECORD VE~~f+[0~.~,~
Pursuant to the provisions of Sections 6321, 6322, ond 6323 of the Interna! Reve- t
nue Code, notice is hereby given thot there have bee~ assessed under the Internal 1~ 06 PN
Reve~ue laws of the Un~ted States against the followingnamed taxpoyer, taxes (includ-
ing interest and penalties) whith ofter demand for payment thereof remain unpoid, and
thot by virtue of the atwv~mentioned statutes the amount of wid taxes, togefher with 24~03
penai+ies, interest, and costs thot may accrue in oddition thereto, is a lien in favor of
the United Stfltes upon all propery and rights to propery belonging to said taxpoyer.
NAME OF TAXPAYER
RESIDENCE
205 Abeto Iane
UNPAID BALANCE
KIND OF TAX 7AX PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
lal lb1 kl ldl lel
~ 1040 12-31-71 5-29-71 55~+-~-9265 $2,423.89
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~o?cE o~ Fiur~c
qerk, C~rcuK Cou~t TOTAL i 2,423.89
~ St Lucie County
FoK Pieroe, Flortda
~
~ h nd at ,
WITNESS my o •
the 16th dary of Novemb~r 19
- a~x ~ ~~i2~38
SIGNATURE 71TLE
Q J Ct?ief, Office Branch
'C.i-
(NOTE: Certifica?e of oil'icer ou _ ~ ro toke «knowledgmenls is not essenhd 1a the valid~y of Notice of Fedxd Tmc lien G.CJVI
~6119. C.B. 1950-S1, 125.)
PART 1-To b~ r~tain~d by ncordinp ofEk~
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