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Form b68 ~v~ar?~Hr of n+E reEwstxr-r~rf~ru?c e[ver~ue seewce For Op?~onol Use Br Recwdng OiFce
~aEV ~-~ol NOTICE OF FEOERAL TAX llEN UNDBt WTERNAL REVENUE UYYS
DISTRICT SERIAL NUMBER ~fl ~NO
JACKSWVILLE FLatIDW S~ RpCEa.
PO~~~?~ l
t~fltK C~fiCt~tT CM~T
Pursuanf to the prowsions of Sections 6321, 6342, ond 6323 of the Internai Reve~ RECOR~ Yf f:;FiEO
nue Code, notice is hereby given thot there hove been assezsed under the Internol
Reve+we laws of the United Stotes agoinst the fol{owiog-named toxpayer, taxes (includ-
ing interest ond perwlties) which ohef demand for paymenl thereof remain unpaid. ond
that by virtue of the obove-mentioned stahrtes the anwunt of said roxes, tos+~her wilh
penohies, interest, ond costs that may accrue in addition thereto, is a lier? in favor of
the ljnited States upon a11 properiy and righh to propcrfy belonging to said ta~ayer. '~~596
NAME OF TAXPAYER ~ .
Evans E 8 Febbie Carthon
RESIDENCE
1802 Avenue D
Fa~t Pierce, Florida 33450_ •
UNPAlD' BALANCE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTlFYING NUMBBt OF ASSESSMENT
(al (b) k) idl Iel
1040 Incane 12-31-70 .8-20-73 26'7 06 7239 $ 274.18
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vu~c~ oF FiuN~
~ Clerk, Circuit Court ToTA~ S 274.18
~ St. Lucie County
Fort Pierce Florida
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~ WITNESS my hand at West Palm Beach, Florida , on this,
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- the 18th doy of OCtober , 19~3
~ SIG TI~RE ~~I T1TLE
~ z" ~19 2~
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(NOTE: Cerfificote of ofFicer authorized by low ?o ~oke ockno+vledgments ~s not essentiol to ~he vclid~ty of Not~ce of Federol Tox lien G.C.M.
26a~9, C.B. 1950-51, 125.)
- PART 1-To be relained by recording ofi'Ke