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Form 668 DEr,VtiMEPtr oF nE TRFI~StRr-wTERNAI REVENUE SERV~CE For Opt~w~d Use By Reco.dng OR'ice
~r~v ~-iol NOTICE OF fEDERAI TAX LIEN UNDBt WTERNAL REVEt~IE LAYYS
DISTRICT SERIAI NUMBER FIIEU a* ~~EcuHDEO `
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Pursuant b the provisions of Sections 6321, 6322, and 63?3 of the Internal Reve- CIEnA .~U!1 C~URT ~ 1
nue Code, notice is hereby given that there hove been assessed under the Internol °C~r`"^ ` t'~r~ ,
Reve~ue laws of the United Stotes ugainst the folbwing-nomed toxpoyer, taxes (includ- OCT l i~ 12 ~N ,15 r
ing ~nteres! and penolties) which after demand for pa~rment ihereof remoin unpoid. and
thot by virtue of the obove-mentioned statutes the omount of said faxes, together with .
penollies, interest, ond costs that moy accrue io oddition thereto, is a lien in fovor of ~y
the United Stotes upon all propery and righh to properly belonging to soid taxpayer. ~~84 I 3
NAME OF TAXPAYER
Raymo~nd W ~ancis
~~~~E It07 SO lltth Street
Fort Pierce, Florida 33~52
UNPAID BALANCE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATf IDQJTIFYlNG NUMBHt OF ASSESSMENT
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loi~o i2-31-71~ 06-o3-7t~ 17a38-6o88 ~ 98i.13 a
' lOt~O 12-31-74 07-21-75 170-38-6088 98.6? y
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~ PUCE OF HUNG ~e~~ ClrCUit COU~t ~
~ S~ Lucie CouMy TOTAL = 1,079.80 -
Fort Pteroe, FloHda -
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` WITNESS my hond at Miami, Fiorida , o„ ~,a,
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~ ~he lst_day of October , ~q 75
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~ ~HIEF~ OF~I~E BRANCH
~ (NOTE: Cartificate of oiFicer wtfwrized by low ro toke ockrwwledgmenls is not assntid b the validiry of Notios of Ftdsrd Taoc lisn G.CM ;
; 26419, C.B. 1950-S1, 125.) ~
~ P~ b. ..td~.d br .«o~~ ~~K 244 PnrF 1572'
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