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F«m 668 oer,iu~?MEr~r oF n1E nIEl~SUr-ME~t - ror opioeal u,. er R.oor~nv Ol~to.
~~v i-io~ NOTKE Of ~EDBtA! TAX UBi WlO~ NiTE~lNAI REYENtlE LAM1S o~' ~
DlSTRICT ~ SERIAL NU~ABER ~ ` ~~A~fi61~ ~
RECO~D Y~`~.;~1€D ~ ~ .
punuoM tu the provisions of Sectioru 6321, 6322, ond 6323 of the Internal Rev~e- ;
nue Code, no6ce is hereby given thot tF~ere have been osseued under the Internal f d ~
Ravenue lows of the Uniied States ogoi~ut the fdlowing-nomed taxpayer, taxes (includ- ~~7 -
inp intetest and penolY~es) which aiter demand for paymeM tl~eof remam unpaid. ond
thot by viriue of the obove-rnentioned stalutes fhe omout~t of soid taxes, together with _
pe~wlties, interest, and co~s thot may accrve in addition fhereto. is a lien in fovot of ~sp'7
the Uniled States~upon all propertr and rights to prope~t~? belo~ging ro soid Mxporer. otia7 ~
NAME OF TAXPAYER ~ ~
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RESIDENCE j~ Z~~ ~3~M
~to 1r~~ tL 3Zlf~ ~ ~ -
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• UNPAID BALANCE ~
KIND OF TAX TAX PERlOD ENDED ASSESSMENT DATE IDENT1F1fING NUMBER OF ASSESSMENT ~
j (o) . 1b1 " <<1 ~d~ ~e~
~ y~ 32~i1~ i~0~74 2K~i~+tS69 i1~0~.7~ ~
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~ C•I@rlc. CIr~GJR COIYt TOTAI :1~~.7~ ~
St Lucie Cainty ~
Fort Pleroe. Florids ~
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WITNfSS nry ha~d ot ~!1~l~ - , on this, i
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the ~ day of ~ , 19 ~ ~
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SIGNATURE 11TLE ~
Ort~t~ OE~t+~ ~earcr
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(NOTE: t'~ de of oiFicar outhoriasd Iaw to tdce ocknowfoJgrtNnb is nd asenlid b the voiidly of rblia of f~derd Tox lien G.C.M ~
26419. C.B. 1950-51, 125.) '
Pnrtt b. ~~d br g~~t~ PACE1~~ §
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