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Form 668 oe~~Hr of n~ ~wsu+r-a~r~ ~ s~ev~ ro. opr~oe~ol u~ er R.ou.dne olRc.
!~v i.~ol NOTICE Of fEDERAt TAX t~l UNDER YiTBtNAt REYENUE LAYifS
o~SZ~R ~ N~~ ~~a
Jacksonville
Pursuont to the provisions of Sections 6321, 6322, and 6323 of the loternal Reve.
nue Code, nolice is F~eby given thot thefe hove bcen ossessed u~ the Interool
Reverwe lows of the United Stctes ogai~st the fdbwing-named taxpayer, twces (includ-
ing interest and penalties) which after demond for porment thereof remoin unpaid. and
that by virtue of the obove~rnentioned statutes the amour~t of said taxes, logether with
penalt~es, interest, cnd cosls that may accrue in ad~tion thereto, is o lien in favor of
the United Stotes upon all properry ond rights b propary belonging to wid ta~ayer. _
NAME OF TAXPiAYER
Jacaes r:dward Clark
REStDENCE
Kt. 3s Brnc 489A, Fort Pierce, F1. 3345~
UNPAID BALANCE
KIND OF TAX TAX PERfOD ENDED /1SSESSMENT DATE IDENTIFYING NUMB6t Of ASSESSMENT
tal rol k1 (d1 (e)
1 a~?o 1z-31-73 05-27-74 261-44-1ko6 822.40 ~
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~ P~ACE OF FILING
:lark Circuit Court TOTAI S g~~40
- :.t. Lucie County
~ 4~rt Pierce Florida
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~ wITNESS my hand at ?alest Palm Beach, Fl. , on th~s,
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~ +he 7th. da,r of Feb. , 19 75
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~ ~`GNATURE T1TLE
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F: (NOTE: Cert~cate o o(ficer ov rized by low to take acknowledgments is oot essentiol t validity of NoFi of Federol Tox lien .M
~ 26119, C.B. 1950-51. 125.) go~~ ~ ~
~ PART 1-To be retained br recording oRice
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