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~Fo~tn 668 / OEtY1RfMEM OF l1# T~I1AR1f-M~1EWAl REVENUE SElY1CE ~~~+d ~1+~
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N~~ FILEO ANfl RECORpE
JACK9UNYIIZ.T ~ iT. luCt~ COUNtY f~ ~
ROGE+~ FO~TRAS ~
Pursuor~t io the provisions of Sectio~s 6321, 6322, and 6323 of ths lntereo) ReMe- ~ CIERK CsRCU1T COURT
nue Gode, notiae is hereby given thct fhere lave.bean assessed under the Internol RECORO YERiFiED~~.....~ ~
R~eVenus laws of the United States ogainst the fdlawing-named taxpa~rex, taxes (incluc!- p ` ~
ing iMerest vnd pe~wlties) vrhich after demaMd for pa~rrrieM tl~eof remoin unpaid. aa~d ~i ~0 ~l ~~?II ~
that by vi~tuq of the obove-men6oned statutes the anount of said mxes, togelhe~ w+th ~
penokies, intsrest, cnd cosis that may accrve in od~tion thereto,. is a lien in fwor of c
the Unibd Stata upon all propery and righh b propery belongii~ to said 1~~arsr. ~SIZV ~
NMAE OF TAXPIAYER , ~
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HABTIN NAW~4i0RNg . ;
r~~oEn~ 61o a~.n nt~ x~c~w~Y 1
JIsTdSIId BFJlG~i, FLORILI? 33~+5?
UNPAl~ BJ1UV~CE ~
' qND OF UX UX PERIOO ENDED ASSESSMENT DATE IDENTIFYING NUM66t OF ASSESSMENT
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! louo 12-3a:-?3 - l, 626. aw 299-28-705~+ 1, 626. a4
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PUCE OF FlUNG
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Wi1NESS my hond at ~R~ , on tha,
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SIGNATURE mLE
~ ~FFIC$ BRJ?NCS
(NOi'~ Grtificals of oH'iar ou law b lab odcrawldgrrw~b is na1 ~asNial b th~ vo~dOp of T ' S3.
_ 46119, C.B. 1950-St, 125.) 0~ ~a~~~~~ .
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PART 1--To b~ nfain~d !ry noo~d'in~ oA1o~
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