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Form 668 DEPART44ENT Of THE TRf.liUi!Y-OVlERNAI RFVFyUE SEk1~1CE fo? Opfio~wl Use By Remrd~ng Offix _
~aEV. ~-io~ NOTICE Of fEDERAt TAX LtEN UNDER iN1ERNAl REdENUE LAWS f~~
DISTRICT ~ SERIAL NUMBER ~~,C~CIE CViI ~
CE~i F~ ~~4
JACKSONVILLE ~ C~~Gy{ 6~l1~!
Pursuc~nt to the provisions of ~ections 6321, 6322, and 6323 of the Internal Reve- REr,~ep vERtFlEB
nue Code, notice is fie~ eby given that there have been assessed under the Interna{ uf
Revenue laws of the Un~ted Stotes against thc following-reamed !axpoyer, taxes (includ- P/1 1'1
~~g interest and penoliias} which ofter demond for payment thereuf ~emoin unpoid. and
thot by virtue of tF?e above-mentioned stotutec the dmount of said taxes, together with
penalties, ioterest, and ccsts that may accrue in addition thereto, is a lien ~n fovor of 2'734p4
the United Stotes upon oli property and rights to property belonging to said toxpayer.
NAME OF TAXPAYER '
Robert Gordon Grant
RESIDENCE ' '
Rt 3 B~x 498 •
Ft. Pierce, Fla. 33450
UNPAID BALANCE -
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
' (al (b) k) (dl le1
941 9-30-73 12-10-73 59-1298300 33s871•75
.
PIACE OF FILING Clerk, Circuit Court
St. LuCie County TOTAL ;3,871.75
Ft. Pierce, Fla.
WITNESS my hand ot West Palm Beach, Fla.
, on this,
~ 25th of January 1974
,
SIGNAT TITIE ,
Th~oas C. Graves ' Group Manager
(NOTE: Certifiude of officer outhorized br law to toke ackrwwledgme~ts is not essentiol fo the validity of Notice of federd Tax lien G.CM
26~19, ~.B. 1950-51, 125.) , R 2z3 ~
_ PART 1-To bs rofain~d by recordi~ ofHc~ 3~'~x '",1LE