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Form 668 OEPNRMEtrT of i?# flEwSUR1?-NTFRN/LL REVENUE SERV~CE fw Opriono! Ur dng OKice
~r~v. ~-io{ NOTK~ OF FEDBtAI TAX ll@! UMDQ NiTERNAI REYENUE LAWS
DISTRICT ~ 56tG11 NUMBER ST. ROGE~ FO NRA$ `A. ~
CIERr. Cc:iGUli COURT '
REC1F.~ L ~'~f IE~ f•-~-~j
Pursuont to the provisions of Sections 6321,-6322, and 6323 of the Internol Reve- nw? 1 32 f H~~~
nue Code, notice is hereby giveo thot lhere hove been auessed under the InMrnol V~~ ~
Revenue laws of the United Stotes ugoinst the folbwing-named tuxpayer, taxes (includ. ryr~ry
ing mterest end per?alties~ which oNer demond for parment thereof remoin unpaid. and r``
fhot by virtue of the abov~menfioned statutes fhe omovnt of soid taxes, togelher with
penalties, interest, and cosh thot moy actnie in addifiqn fhereb, is a lien in favor of
the United States upon afl properfy ond righh to propery belonging to said taxpayer.
NAME OF TAXPAYER ~
3
RESIDENCE
601 South Acean Drive
uNPa~ ai?uwcE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFl(ING NUMBER OF ASSESSMENT
lal tbl k) (dl (e?
1040 12-31-72 03-24-73 476-16-0593 989.15
aucE oF r~ur~c
Clsrk. CtrcuK Court
St Lucie County TOTAI i 989.15
Fort Pierce. Florfda .
yy~TME~ }~d ~ Mia~i, Florida , on this,
tt,a 25th ~y of Seutember, 19 73
SIGNATURE ~E
~ Offic Branch
{NOTE: Cvfificde of oN'icer outiar" oduwwledgmenh is nd esseMial b ths vdidiy of Nofice of Faderd Tmc lien G.C.M.
264i9, C.B. 1950-51, 125.) Q~
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