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Fwm 668 OEPARTMENT OF THE TREASURY-INTERNAI REVEMUE SENVICE • FO~ ~ti0/~~1 Uf! By RNCO~dirtg O//it!
1pEV. ~z-ia~ NOTICE Of FEOERAL TAX LIEM UNDER INTERNAL REVENUE IAWS ~
DI ICT SERIAL NUMBER c~~EO ANO RECORDEO
.,T.lUC1E GOUMTY F~A.
JACKSONVIiLE RBCER POITRAS
c~EaK c~RCUi7 couaT
Pursuant to the provisions of Sections 6321,6322,and 6323 of the Internal Revenue RfCORD VERIFt~Q..~~
Code. notice is hereby given that there have been as.:pssed unde~ the Internal Revenue laws {
of the United States against the following-named taxpayer, taxes (including inte~est and ~ 3a 1~ 1~ M, ~~6
pe~alties) which after demand fo? payment thereof ~emain unpaid, and that by virtue of
the above-mentioned statutes the amount of said taxes, together with penalties, interest, :
and costs that may acc~ue in addition thereto, is a lien in favor of the United States upon
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all property and rights to property belonging to said taxpayer. ;
NAME OF TAXPAYER '78 ~~~1 ~ p ,
~illiam L & Jessie Long
RESIDENCE Rt BOX 49TL
Ft Pierce, Fla 33452
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~ UNPAID BALANCE
KIND OF TAX TAX PER100 ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
la) Ibl (cl ld) lel
1040 12-31-73 03-31-75 257-16-4589 241.10 ~
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PIaCE OF FILiNG Clerk~ Circuit Court
St Lucie County TOTAL S 241.14 =
~ Ft Pierce, Fla k
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WITNESS my hand at I?i~em1 ~ F10Y'ld8 , on this, `
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the ~ 6th day of J anU8~y ,~g 76 ~
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SIGNATURE TITLE ~
C~C~• Chief, Office Branch
~ (NOTE: C~.tiflcate of officer sutAorizM by Isw to cek~ ~cknowl~dym~nts is not ~ss~ntisl to th~ val~dity of Notice of f~de~al T~~ Li~n G.C.M.
26419, C.B. 1950 1, 125.1
PART 1••To be relained by recording office p~;r,E
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