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Form 668 oer,~rr~~r oF n# n~wsuer-~e+K ~vErx~ sE~ • fo. qPnond u,. Qy R~oo?d+p oR~c.
(REV. 1-70) NOTI~ Of f~At TAX !8i UMDQ MITBlMAL REYEI~ IAWS EO pqD A~CpR~D
p~~T SER1/1l NIMABBt ~ ~~LIIC~E COUII~Y ~tA.
- A06ER P41TRA=
C/ERK CIiiCU1T COU11T
. PursuoM ro the prov~sions of-Sections 6321, 6322, and 6323 of the Inbrna) Revs• RECORD Y[RIFIED~~~
nue Code, notice is hereby giveo ftwt fhere Iwva been assessed unde~ the Int~errw)
Itevenue laws of the United Stabs agair~sf the foltowing-nomed roxpayer, toxet (includ- ~~A ~ OS
ing iNa~e~ and perwlties) which after demand fa' payment tbereof remain unpaid. and -
fhat by virhie of the obove-meMiorbd stcrutes_ths omount of said toxes, rogelher Mrith 25'71'75
penoities, inle~est, cnd coats Hwt maY accrue in addition.thereto, is a lien in favor of ~
~ tM~rec~ sr~res ~ d~ ~o~? a~d ~ ro~o~y be~o~~~ ro so~d b~. /n~~~
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Tiawthy Qavit 8 Fagene Scott Ptr
De?vfs 8 Scott Construction
~~oENCE ~
28E3? Ave~ H
Fo~t Pierca, Florida 334.50
UNPIJD BALANCE
KIIVp pF T/~X TAX PERIOD ENDED ASSESSMEMT DATE IDENTIFYING NUMB9t OF ASSESSMENT
(a1 rol kl !dl 1e1
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! 941 UMithholding 03-31-72 06-21-73 59-1352618 S 1,830.34
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~ Clerk, Circuit Court TOTAL i 1,830.34
S~ Lucie County '
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~ WITNESS m~?hand at trnet Pal~ Bwach Fleri ~ on this,
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the _18~_doY of T~r,st~ , 19 T3
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TITIE
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S C• GRAVBS GRWP SI~StVISat
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.K,~~`~`-~., (NOTf: Certificde of oR~cer avtlwrized by law ro toke ocknowledgmenh is nof essent~ol to the votidity of Notice of fsderol Tax Lien G.~M
~~.~9. ~.e. ,9~-5~, ~zs., o R 2'1.5 i5'~
PART 1-To be ~tained by recording oRice 600K PAC~
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