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Form 668 oErAitMEPrt oF nE nlfwwRlt-rrTFiNAt eEVEI+UE sEtvKE Fo. Opr;o~wl Us~ ~ RecordRg ORc.
~~v i.~o~ NOtICE Of ~EDBtAI TAX L~1 UNDER MiTBtNAI ~ LAWS ~~~~~j
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DISTRICT SERUIL NUMBER ~
JAACSq~MI.LE FI.CRIQA ~L~ar~ ~~nC~;1 SO~RT ,
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Pun~ant to tfie provis'ions of Sections 6321, 6322, and 6323 of the Internal Revs
nue Code, notice is hereby given tiw~ there hove been auessed under the Internal ~0 po
Revenue laws of the United States ogairut the fdbwing-named taxpayer, tmces (indud-
ing interest and penalties) which after demand for pa~rment thereof remaio unpaid. ond
thot by virtue of the above-rt~en6or~ed stototes the amount of said faxes, togetF~ with
penahies, interest, and costs that may accrue in oddition th~ero, is a lien i~ fwor of
the Uni~ed Srotes ~rpoe all propery and righh to properry belonging M said taxpayef. -
NAME OF UXPAYdt
Roland R Vaillant
~~~~B Hawley Road •
Fort Pierce, Florida 33450
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KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDB~ITIFlfING NUM68t OF ASSESSMENT :
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1044 Income 12-31-71 9-10-73 ~ 046 09 8840 S 862.90
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~ Clerk, Circuit Court
~ St. Lucie County TOTAL i 862.90
~ Fort Pierce~ Florida
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~ WITNESS my hand at WESt P81111 Beach~ Florida , , on rh~s,
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the _~~.day of SeDtectlbB]C , 19
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SIGNATINtE T1TlE
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(NOTE: Certificate of officer ovthorized by law to toke ocknowledgmenh is no1 essentid to the volidity of ~oe of Federd Tax Lien G.CM
26419. C.B. 1950-51, 125.) g~K~/~ Q .
' PART 1-To be retained by resording oi~ice 10 PACE
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