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Form 668 DEPARTMENT OF THE TREASt1eY-WTERNAL tfvENUE SERVICE Fw Oprianof Use By Recording Of6ce
{REV. ~a»> NOTICE Of FEDERAI TAX UEN UNDER INTERNAL REVENUE LAWS
DISTRICT JACK90NVILLE SERIAL NUMBER
Punuant to the provisions of Sections 6321, 6322, ond 6323 of the tnternal Reve-
nue Code, notice is he?eby given that there hme been assessed under the Internal
Revenue laws of the United States against the following-named taxpayer, taxes (includ-
ing interest ond penalties) which after demand for paymentlhereof remain unpaid. and
that by virtue of the above-mentioned statutes the amount of wid taxes, together with
penolties, interest, and cosh thot may accrue in addition thereto, is a(ien in fovw of
the United States upon all property and rights to property belonging to wid taxpayer.
NNME OF TAXPAYER -
John G Long 8 17alter Curl Ptr
1'urf 8 Tarmac
RESIDENCE
1409 ~Yyoming A~e.
Ft. Pierce, FL 33452 -
UNPAID BALANCE
KIND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
(a1 (b) k1 (dl (el =
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941 09-30-74 01-06-75 59-1418617 ~0~3.44
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FiiEO ~M~ REC Roeo
st ~uci~ couN r f~~?.
ROGEF P~IT AS
~ CIERK C~3CUIf OUBT J
RECOR~J VER1f1~D ~
f~e t0 l2 s PM'? 1~~~ ~
PLACE OF FIUNG r ~
ST. I.UCIE COUNTY
~ FORT PIERCE, F10RIDA Tor.4t S 4,093.44
WITt~ESS my hand ar tlest Palm Beach, FL , on rhis,
the 7th ~r oF February , ~ q 75
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SIGNATURE TITLE - -
C 3
G. A. Sharpe Acting Group i.Sanager Y
(NOTE: Certifcate of of~'icer ovthorized by law to toice ockrawledgmenh is not essentiol to the volidiry of t~ti~ F ol Tax lien G.C.M. s
26419, C.B. 1950-51, 125.) V ~ ~
BOOK P11f,f
~ PART 1-To be retained by ~ecording office
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