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Fonn 668__ _-oe?~en~Et~ oF-ine nlEwsu+r-~s+t[~s:K-~EVf.auF ~CE----- - - - For O,ptional-tJ,e-Ay-Bsc'c''dkg O~o~
t~v ~ao~ NOTKE Of ~D~AI TAX t~l WiDER NT~NAL REVEMI~ ~AWS - FILED AkD RECaR0E0 . ±
DlSTRICT - SERIAL Nt~NBER ST. ROCEaCP01TqA$ LA~
REC4RO YE'~~F Ep COURT ~
Pursuant ro the provisions of Sections 6321, 6322, ond 6323 of. the Inbnwl Re~re- ~
~ue Code, notioe is hereby given that there have been assessed under ths Internal
Revenua lows of the United States against the following-named taxpayex, toxes (intlud- _ 42 ~~j~
ing interest and penalties) which aher demand for pcryment tF~eof remain unpaid. and -
that by virtue of the above-mentioned statutes the vmount of soid taxes, together with ~7pp~~ -
penolties, interest. ond. costs that may accrue in addition thereto, is a lien in favw of ~r~0(1
~he Unised Srores ~pon all p~opery ond ri9hn to propery bdon9ing ro said bxpayer. . `
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NAME OF UIXPAYER
John ~ 'r~.sie :rhite
RESIDENCE ~7 Morth 22nd St.
Ft. Pierce, F1 33452
l~1PAID BALMKE
qND OF TNX UX PERIOD ENDED /1SSESSMENT DATE IDENTIFlfING NUMB6t OF ASSESSMENT
la) lbl (~l ldl lel ;
, io4o 14-~1_72 11-11-74 Z~T-S~+-~960 326.7?
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- St l.uc~e Caunty ' 326.?7 ;
~ Fort Pieroe. Floiide {
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wtTNESS mp Iwnd at i'B.1t`iI, FI.OF~IpA , on ~his, .
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~ 19th ef Ueeeenber , 1974 - ;
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SIGNATI~RE 11TLE =
Chief. Office Branch
(NOTE: Cwti~cafe of oR~oer ov ~~o rok~ aduwvvledgments is rwf aste~Mid b th~ volidAy of Nwia of F~d~rd Toz Lia~ G.CJNI .
26119, CB. 1950-51, 125.~
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