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Form 668 OEMRTYEMT OF TNE TREASUIIY-INTENNAt REMENUE SERVICE ' FOi Optional (/se By R ONite
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(REV. 12-74) NOTICE OF FEDERA~ TAX LIEN UNOER INTERNAL REVENUE IAYYS
51. LUC1E ~:OtIMTY FLA. E
DI5TRICT SERIAL NUMBER pp~~r. t RAS ~ ~
~«RK Cl~CWT COURT ,
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Pursuar?t to the provisio~s of Sections 6321. 6322, and 6323 of the Internal Revenue 9~~~~ ~
Code, notice is hereby given that the~e have been assessecf under the Internal Revenue laws
of the United States against the following•named taxpayer, taxes (including interest and SEP 4 ~
penalties) which after demand for payme~t thereof ~emain unpaid, and that by virtus of ~
the above-mentioned statutes the amount of said taxes, together with penalties, interest,
and costs that may accxue in addition thereto, is a lien in favor of the U~ited States upon 31`7148
all property and rights to property belonging to said taxpayer.
NAME OF TAXPAYER ~
Edward Lee Johnson . 31~'~,4~ {
RESIDENCE ~
912 North 13th Street
Ft. Pierce, FL 33452 ~
UNPAIO BALANCE ~
KINO OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT IDENTtFYING NUMBER OF ASSESSMENT ~
lal Ib) (c) td) Iel '
941 06-30-74 01-06-75 59-1531204 $ 380.66
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~ PLACE OF FILING
~ Clerk of Circuit Court
St. LuCie COUnty TOTAL S 380.66
~ Ft. Pierce, FL 33450 ~
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~ WtTNESS my hand at ~t,. _Pierce., FT , on this,
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~ ~1e 16tibay of September , 19 75
•SIGNAT- E/ TITLE
L.~ .
Grou Mana er
(NOTE: CKtifiut~ of offic~r authorizW by Isw to t~lc~ ~cknowlWym~nts is ~ot ess~ntial to th~ v~lidity ot Notia of F~rM Tax li~n G.C.M.
z~.,9. ~.e. ,950.,. ,z5.~ - o R 243 2fi46
PART 1-To be relained by recording oFfice d~(1K P4~f
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