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Fom~ 668 De~t?wEM oF n~.~wstxr-wrE~~t rtFVE~ sEev~c~ Fw Op+ond U,e By ttx«~dr,8 WSc* j
~~v ~-~o) NOTICE OE ~DfRAI TAX U8~1 UNDER ~iTERNAt REVEt+N~ IAYYS . ;
~isr~cr SERIAL NlJMBER '
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RE$~ ~y ji~1~~ IIA~ ~ ?
Pursuant to the provisions of Settions 6321, 6322, and 6323 of the Internat Rev~e- 4~ ~
nue Code, notice is hereby given thot there hove been assessed under the Interna) ~~~~g~ ~
Reve~ue laws of the United States againsl the following-narned taxpayer. taxes (includ- ~ ~
ing inte~est and penolties) which oRer demand for poyment thereof remain unpoid. and ~
that by virtue of the above-men6oned statutes the amount of said taxes, together with 2618G3 ~
penalties, interest, cnd costs thot moy occrue in oddition thereto, is a lien in favor of ~
the Un'~ed Stotes upo~ oll property and righh ro prope~iy belonging to said roxpayer, ~
NAME Of UIXPAYER ~
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Jack T 8 Lenora J Penuel ~
RESI~ENCE `
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368 Barraclough Street ~ f
Fort Pierce Florida - ~
UNPAtD BAtANCE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTlFYlNG NUAA88t OF ASSESSAAENT ;
fa) (b? (c) (d) (e) ~
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1040 Income 12-31-72 (y.q..73 267 12 0684 $ 233.66 ;
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PUCE OF HLING :
Clerk, Circuit Court t
' St. Lucie County TOTAL = 233.65 y
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' Fort Pierce Florida - ;
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~ WITNESS my hand ot ~est Palm Beach, Florida , o„ ~
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` ths ~ doy of A1~9ust , 19 73
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; SIGNATURE 0 11TLE
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c. a. sw~E acriNC ceot~ ~u?w~cn~
(NOTE: CertiRcate of oH'icer ovtlwrized by law fo take adu~owledgmenb es nd assentid ?o the voliddy of No1ip of Fyel~rd Taoc lisn G.C,M °
26d19, C.B. 1950-51, 125.) - ~ ~
~ PART 1-To be ntain~d br ncor+dirp o~iic~ 6~K~~~ F~GE,~(.~V !
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