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Fom~ 668 DEPARTMENT OF THE TREASIRY-IMERNAt REVENUE SERVICE Fo. Oprpnot Use By Reco?d~~g OA'~ce
~R~v. ia~i~ NOTICE OF FEDERAL TAX UEN UNDER INTERNAI REVENUE IAYVS fILEO ANU RECOit0E0 ;
DISTRlCT ~A~~~~~E SERIAI NUMBER ST. ROCERCPO TRAS
CIERK CiRCUtT COURT ~ ~
Punuant to the provisions of Sections 6321, 6322, and 63~3 of the internal Reve- pFCOR~ VERIFIEO
nue Code, notice is hereby given that there hove been assessed under the Internal ~a pu ~ [
Revenue lows of the United States ogoinst the following-named taxpayer, taxes (includ• `CO ~ ~ Z~ i~1 ~d
ing interest and penalties) which after demand for poymenl thereof remoin unpoid. and
that by virhre of the above-mentioned stabtes the amount of wid roxes, together with
penalties, inlerest, ond costs thot moy accrue in addition thereto, is a lien in favor of ;~,I~ :
the United Siates upon all property and rights to property belonging to soid taxpayer. ~1 ~ -
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NAME OF TAXPAYER •
Harold Bickelhaupt . ~
B & B Excavating Contractor
RESID~NCE
4750 U.S. 1 ~
Fort Pierce~ FL 33450 <
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~ UNPAID BALANCE
KIND OF TAX TAX PERIOD-ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
(a) ~b) ~d) (e~
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; 2290 06-30-74 11-04-74 59-1431846 234.14
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~ 2290 06-30-75 11-04-74 59-1431846 176.67
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fORT PIERCE, FLORIDA TOTAL ; 410.81
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~ WiTNESS my hand ot ~rest Palm Beach, FL , o~ ~,;s,
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~ rfie 30th ~y of January , ~q 75
~y
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~ SIGNATURE T1TLE
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~ G. A. Sharpe Acting Group trianager
~ (NOTE: CMiAcote of oN'icu authorizcd by low to take acknowiedgments is noi essential to the volidity of Notice of Federa~ Tax lien G.C.M
26119, C.B. }950-St, 125.) -
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~ PART 1-To be retoined by recording oHice
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