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Form 668 OEPARTMfM OF THE TRfAStKiY-MEpdAL REVENUE SEkVKE For Opfionol U~e 8y Reco.d~ng OIBce
~r~v ~-~o~ NOTICE OF iEDBtAI TAX L~1 UNDBt INTERNAL REYEIrt~ UYVS
DISTRICT SERiAL NUMBER
JACK90NVILLT
Punuant to the provisions of Sections 632i, 63~2, ancl 6323 of the interrwl Reve- .
nue Code, notice is hereby give~ thot there hwe been ossessed under the Internal
Revenue laws of the United States against the following-nomed taxpayer, taxes (includ-
ing iMerest and pennlties) which ofter demond for payment thereof remain unpoid. and
! that by virtue of the above-mentioned statutes the amount oF wid taxes, together with
~ penalties, interesl, and costs thot may otcrue in oddition thereto, is o lien in favor of '
~ fhe United $taFes upon al! property and righis to properly belonging fo soid laxpoyer.
NAME OF TAXPAYER •
John C. & F~nice Washi.n n
' itESIDENCE
1108 Ave. E
' Ft. Pierce F1.
UNPAID BALANCE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUAABBt OF ASSESSAAENT i
~i k1 iai fei ~
iot~o i2-31-71~ 05-26-?5 248-i~o-o~6 i,8o2.71~
_
FILED 1?NO RECQROEO
' St.lUClf i.OUNTY FIA.
hGG~q P~tTRA~
~ CLf n?~ Ct':CU1T COURT
PF^rz ~ v_~:.~:Eb
~ Z6 9 Z~ AM'~5
31~s9s -
Pv?cE oF Hur,c
Clerk, Ctrcutt Court
St LuCie Couttty TOTAL S 1~802.74
Fort Pleroe, Flortda
WITNESS my hond at Fl. , on this,
the 22ad~, of Septe~ber, 19 _35
SIGNATURE T1TLE
(NOTE: Cutificate of oRioer aurhor' fo roke adcnowledgments a no1 asentid ro the volidi~y of Natice of Fedrd Tax lien G.ClYI
26119, C.B. 1950-51, 125.)
PART 1-~ b. ~~d br ~o~~ otr~. goox24~ PACE ~O5
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