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Form 668 DEP~IRTMFNT OF TNE TREASVRY-WTEWAL REVENUE SERYICE fo~ Opnorwi Use By Recordng O/fxe
~R~v. io-~>> NOTICE OF FEDERAL TAX UEN UNDER INTERNAL REVENUE IAWf ~tEO ~k•~ .;~~QQpEo
DISTRICT SERIAL NUMBER ST• ~'~C'f ~~+~hTY F~~, -
JACKSONVILLE ~oc~ ~ ~'~.~jaas
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Pursuant to the prov~sions of Sections 6321, 6322, and 6323 of the Internol Reve-
nue Code, notice is hereby given thot there have been assessed under the Int2rnal ~Ar ~ •
Revenue laws of the Un;ted States against the following-nomed toxpoyer, toxes (includ• ~ 28 A~ ~r~
i~g interest and penalties} which after demc~nd for poymeni thereof remain unpoid. ond
that by virtue of the above-mentioned statutes the amount of soid taxes, together with
ii pennlties, interest, ond costs that may accrue in dddition thereto, is a lien in favor of
! the United States upo~ all propery and rights to property belonging to said taxpayer.
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NAME OF TAXPAYER 3~"~~15
George S. tx Jean L. Deluna .
RESI~ENCE
55 E1 Camino Real Spanish Lakes
Port St. lucie, FL 33452
UNPAID BALANCE
KIND OF TAX TAX~PERIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT -
(al (bl k) ldl te)
~ 1040 12-31-73 7-29-75 282-07-4575 4,175.85 °
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PLACE OF ~ILlNG CLERK, CIRCUIT COURT
ST. LUCIE COUNTY TOTAL S 4,175.85
FORT PIERCE, FLORIDA
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WITNESS my hand at West Palm Seach~ FL , on this
the 6th doy of Tiav , 19 75
SI vNATU T1TLE
.
ames E. Bruin Grou Hana er
( : Certificote of officer outhori2ed by {aw ?o toke ocknowledgments is not essentiol to the volidity of Notice of Federal Taz lien G.C.M.
26I19, C.B. 1950-51, 125.)
, PART 1-To be refained by recording office U~~rVV
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