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Form 668 oEtntr~t+r oF n~ rtFwwtv-a~erut ~ se~ - For Opno+~ol U OR'~o '
~~v ~-iol NOtICE Of FEDERAI 1AX UEN UNDQ MITBtNAI REYEMUE LAWS
DISTRICT SBtIAI NUMBER R~ER
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JJIQCSq~iVILLE FL~II~ CtERK CIRCUIT CO~
NECpRO Y~RIfiEp
Punuar~t to the prov~sions of Sections 6321, 632?, and 6323 of the internal Reve- f~~~ .u
nue Code, notice is hereby given thot there have been assessed under the internat ! A~'~
Revenue laws oF the United States against the foliowing-rwmed toxpayer, toxes (includ-
ing iriterest ond penalties) whith after demand for paryment thereof remoin unpaid. and .
fhot by virfue of the obove-men~ioned stotutes the omount of soid toxes, togelher with 254125
~penohies, interest, ond costs that may accnie in aldition thereto, is a lien. in fovor of
the United Stotes upon oll property and rights to properfy belonging to said taxpayer.
NAME OF UU(PAYER
Mslter E 6tas~tnacy
RESIDENCE ;
211-1/2 North 17th street `
Fort Pierce, Floarida 33450 i
UNPAID BALANCE ;
KINO OF TAX TAX PEWOD ENDED ASSESSMENT DATE IDFNTIFlfING NUM66t OF ASSESSMENT
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1040 Income 12-31-66 06-02-6? 431 42 7710 t 812.64
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~ PUCE OF FlUNG
~ Clerk, Circuit Court TOTU f 812•64 4
St. Lucie County
~ ~Fort Pierce Flo~ida
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