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Form 668 oer~xr?~?~r oF nf nE~aatr-r.rtf~u?t rt~vfrrt~ sEev~cE Fo. Opnonol U,e A~• R~oo.dnp Ol~c~e
~r~v ~.~ol NOTKE Of ~DERA1 TAX l1EN UNDER iNTdtNAL REYENUE LAWS ~ i~~~[ COYNTr f~ ~
DISTWC7 SEltIAI NUMBER t
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P
ursuan t to t h e provisions o f S e ctions 6 3 2 1, 6 3 2 2, a n d 6 3 2 3 o f t he Interno l Reve- RECORO Y[RIF~EO~.r..,. ~
nue Code, rwtice is hereby gi~rcn thot there have been ossessed ~nder the Internal 17 ~
Rsvenue faws of the United Stotes ogairui the folbwing-nomed toxpoyer, taxes (includ- ~ u~ e~ _
ing inte~est and psr?atties) which nfter demund for payment thereof remoin unpoid, and
that by virtue of the obovementioned statutes the amovnt of said toxes, together with
penolties, interest, and cosis that may occrue io addition thereto, is a lien in favor of
the United States upon al! propery and righfs to property belongi~g to soid faxpoyer. 3~C~f~~i
16Va)V
NAME OF TAXPAYER
PHYI.I.IS L ~iDStS~i
RESIDENCE ~1t N S FIA$BST~ 1~
PORT ST IACIB~ FL 331~52 .
uNPa~ e~uwcE ~
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDBJTIFl(ING NUMBER OF ASSESSMENT ;
l~l ro1 kl (dl (el
1Q1j0 12/31/?3 10/27/`15 261-62-2880 - 870.02
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Pu?cE oF pur~
Clerk, C~rcutt Court
~ S~ Lucie Courtty . TOT~ = 870.02
~ Fort Pieroe, Florida ~
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~ wrTNESS my hand ar 1~II~, FLO$LDA
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~he ~ dar of J~1U~ , 19 ?6
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~ SIGNATURE TITIE =
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OR CHISF, OFF'ICS BBANC~i ~
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~ (P~OTE: Certificds of oif~ ' ed by law ?o tdce adcnovvtedymenls a no1 estenlid b 1he vdid~ry of Ndios of Fsd~rd Tmc li~n G.Cl~ ,
~ 26419, C.B. 1950-S1, 1?S.) ~
~ PART 1-To b. n~dn.d by ncoe+~na o~k. t
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