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Form G68 DEPARTMENT OF THf iREASURY-NTEiNAI REVENUE SfRYiGE For Opfionol Use R OH~~ce
~~v ~.~oy NOTKE OF FEDERAI T11X 118~i UNDER MlTERNAI REVENUE LAWS St.{.UC~E COUNTIf flA.
p~~ SERIAL NUMBER ROGER ~OITRAS
JaCksonville CIEaKC~?'~UO COURT
RECORO yEk~- E
Pursuont to the pravisions of Sections 6321, 6322, and 6323 of the Internal Reve- ~~~tl ~1~ j
nue Code, notice is hereby given that there have been assessed under the Internal ~i :
Revenue laws of the Uniled States ogainst the folbwing-named taxpayer, tmces (includ-
ing interesl and penalties) which after demand for poyment thereof remoin unpaid. and ~r~~~~
that by virtue of the above~mentioned statutes the amount of said taxes, togethe~ with G ~
penalties, interest, and costs thot may accrue in addition thereto, is a lien in favor of
the Un'~ted States upon all propert~r and rights to property belorging to said taxpuyer.
NAME OF TAXPAYER
I:tichael a Darothy ~leinzirl
~ RtN1E Box 694
Ft. Pierce~ Fla. 3345G
UNPAlD BALANCE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFlfING NUMBER OF ASSESSMENT ,
ca~ ro~ t~~ ~d? ~e~ }
~ 104G 12-31-73 G5-27-74 266-05-4635 51~95&.~7
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PLACE OF FlUNG (~r~;~ Circuit Court
~ St. Lucie Coun~y , TOTAI i 1,958.E7
f~^' Ft. Pierce, Fla. 33450
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~ W11NES5 my hand at ;'Jest Palm Beach, Fla. , on tha,
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~ ~ 13th ~y of June , 19 74
~ SIGNATtAtE ~ , ~Z~.~ , 11TLE
Thomas C. raves Group t.tanager ~O~DK~.~•~L7
~NOTE: tertiRcote of ofFica outho~izad by law ~o take ocknowledgmenh is no1 asentid to the validfir of Notice of Federd Tox Lien G.CM
26419, C.B. 1950-51, 125.)
' PnrtT 1-To b. F.ran~a br ~.cordi~ oRk.
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