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Fom~ 668 DEPARTYVENT Of THE TRE/WJ2Y-WTEQNAI REVENUE SERYKE For Opfipnpl Use By Recnrdirtg OIFce
~R~v. io-~i~ NOTICE ~ FEDERAI TAX UEN UNDHt INIERNAI REVENUE LAWS FIIED AML~ RECOROE
ST.lUC1E COUNTY FLA.
DfSTRICT SERIAL NUMBER ROCEF P41tRAS
JACK90NVIlLE ~ CIEkK Ct +CU~T COURT
FGCORD Yf~"FIE(1~....,,~
Pursuont to the provisions of Sections 6321, 6322, ond 6323 of the Internol Reve- c ~
nue Code, notice is hereby given that there have been asssssed under the Internal ~e10 t2 sa PH ~~J
Revenue laws of the United States against the following-named toxpayer, taxes (includ-
ing interest and penalties~ which ofter demand for poyment thereof remain unpaid. ond
that by virtue of the obove-mentioned statutes ihe omount of said toxes, together with
penalties, interest, and costs thot moy accrue in addition fhereto, is o lien in favor of ~ -
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the United States upon ol) properfy and rights to properiy belonging to sai~l taxpayer.
NAME OF TAXPAYER
Jerome Benjamin
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RESlDENCE
2707 ~~lalker Dr.
Ft. Pierce, FL 33452
UNPAID BAIANCE
' KIND OF TAX TAX PEi210D ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
~a) fbl kl (d) (e)
941 03-31-?3 09-23-74 59-1541703 661.65
941 06-30-73 09-23-74 59-15~41703 255.27
i 941 09-30-73 09-23-74 59-1541703 336.85 ~
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j 941 12-31-73 09-23-74 59-1541703 453.33
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~ 941 03-31-74 09-23-74 59-1541703 458.16
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a 941 06-30-74 09-23-74 59-1541703 170.33
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~ PLACE OF FtL1NG CLERK~ CIRCUIT COURT
ST. LUCIE OOUNTY TOTAL g 2, 335.62
FORT PIERCE~ FLORIDA
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; WITNESS my hand at ~'r~st Paln Beach~ FL , on rh~s ~
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fhe ?th day of February 19 ~
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~ SIGNATURE TITLE ~
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~ G. A. Shar e ~u
_ (NOTE: Certificote of ofi'icu authorized by Irnv to take ocknowledgmenh is not eucntiol fo t volidity of Notice Federo) Tox Lien G
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~ 26~19, C.B. 1950-51, 125.)
~ PART 1-?o be retained by recording office 80 K~ ~A~ ~
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