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' oEHiRtMENr oF THE T~E.W~?-adTfWAL REVENUE SEeWCE Fo. oFrio+iol tl~. 8p R.oordr+y OfRce ;
FOmi 668 ~
~rtEv i-io~ NOTI~ Of F~D~AL TAX t~! UNDQ MITBtNAI REYENt~ taWf ~~~O~Np~~E+~ ~
DISTRICT - SERULL Nl;rI1BER ~ ~
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CQ~R9I~IE~it
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PWrs~wnt ro the prov+sio~s of Sections 6321, 6322, cnd 6323 of the Intenwl Reve- -
nue Code, notice is hereby yiven Hwt M~ere hove besn assessed ~~der the Internal t ~
Revenue lows of the United States agciit~st the following-~amed taxpayer, ?axes (includ• ~
iog iNerest und pennlties) which aNer clenwnd for poynteM tl~ereof remain vnpoid. und ~
11wt br virhre of the obove~mentaned statutes the omou~t of soid taxes, tog~ with ;
pe~whi~, interat, cnd costs Hwt may occnre in addifia? thxrero, is a lien in fm?or of
the Un'~ed Stotes upon oll properiy ond righh to propert~! be~onging b said to~alret. _ ~
I~iAM~ OF 7AXPAYElt ~
RIC~iARD & LZ)RSATHA JONffi . ~
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RESIDENCE
612 WASHINGTOId STR~ET
~ oxE~CCHOBTsT. FLORID!? 33472
urmau a~?w.icE
KiND OF TAX TAX PERfOD ENDEO ASSESSl~AENT DATE IDENTIFYING NUM66t OF ASSESSMENT
(a) ro) ~d~ ~e)
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1040 12-31-?1 0~12_?4 251-3~3-5713 2Fi7.19
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l040 1~31_73 0~0~74 251_38-6713 _ 095. 05 ~
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PucE oF HUt~c ~ Clerk. Clr~cun Court
~ TOTAL ;9~•2~
Fort Pteroe. FlorWs
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Wi~SS nqr hand ot MIAa~Q FLt?Ri~A . on this, =
i
~ 22nd of ADGDST , 19 ry~ - s
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SIGPU?TURE ~ _ ~
(NOTE CerN'Ka~e of ofRoer authoriud b'?~ bw ro take «knowkd~na~ts is na ~ial b eh~ vo~dihr of Notio~ oF F~drd Tmc lien G.C.h~ f
4W19, CB. 19~0-S1, 125.) '
PART 1-To b~ ntain~d b~? ncordina oAk~
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