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Form b68 oEelllttMENi OF THE nEwuAtY-ad1ERNAt REVEtrUE SERV~CE for Optiona! Use 8y Rem.dng 01fsc+ '
~~v ~-~o~ NOiKE 0~ ~EDERAI TAX tEN UND~ piiERNAI REVENUE IAWt sT
iucif couN~Y Fl~. -
p~~~R SERIAL NUMBER ROCElI ~OITRAS =
3acksonville CtERK Gt~tCUtt COURT '
BECORD vEkli~EO i
Pursuont to Ihe p~ovisions of Sectioos 6321. 6322, and 6323 of the Internal Reve- "
nue Code, no?ice is hereby given thot tfiere have bee~ assessed under !he Internul 3 2 Zs PM _
Revenue laws of the United States agoinst the fol{owing-named taxpayer, taxes (includ-
ing +nterest ons~ penallies) whith oker dtmond for payment thereof ~emoin unpaid. and ~
thct by virtue of !he abovemenlior~,d stotutes the amount of wid taxes, togetfier with _
per.e~ti•~, interesi, and costs that moy accrue in oddition therero, is a lien in fovor of ~g'v`+".t 14
the United States ~~pon all property ond ric~hls to property belonging to wid taxpayer. ~ -
NAME OF TAXPAYER
Clyde C Hissorx,~ ~
RE DEN~E
1~ St Lucie Lane
Ft. Pierce~ Fla. 3345~
~ UNPAID BALANCE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSAAENT
(a1 l~1 i~) ld) le)
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~ 104G 12-31-71 05-21-73 3~6-34-1321 ' S359.40
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PIACE OF HUNG Cler}: Circuit Court
" St. Lucie County TOTAL = 35;~40
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~ Ft. Pierce~ Fla. 33450
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~ WITNESS my hand ot 5'~est Palm Beach, Fla. , on ~his,
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~ 31st ~ of t;~y 19 74
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~ SIGNATURE ~
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Thomas C. Graves GrQup t.lanagez
~NOTE: Cefific~e of oNiter wthorized bp law b t~lce ad~^owled9'"e^K is not esseMid ro the va=idity of Notice of Fedsrol Tax lien G.C.M.
26I19, C.B. 1950-51, 125.~
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PART 1-To b~ nlained br wcordin~ oiRu ~.=r ~ P~'^j~
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