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Form 668 u[rl~ni~[eY u~ iiii IIICNUII~-tl~~[~1NI~l I1[~CI~Y[ iE~1ti~.C ~'w v"~i:~.:m 1~~ a~jr' ~.aw'~.:'~ .{~.s:~
(REV. 12-711 NOTICE OF FEOERAI TAX LIEN UNDER INTERNAL REVENUE LAWS ?j~~~?Q ~
DISTRICT SERIAL NUMBER ~~~~'~+oa)
JaCksonville -
Pursua~t to the provisions of Sections 6321, 6322, and 6323 of the Inter~al Revenue
Code, notice is hereby given that there have been assessed under the Internal Revenue laws ~~t (~a 5~~~
of the United States a inst the followi -~amed taxpayer, taxes (including interest and ~d~`j
s~ ~ o~~RC ri~YtT
penalties) which after demand for payment thereof remain unpaid, and that by virtue of ~~~pRA ~~~~F~~Q OOIIRr
- the above-mentioned statutes the amount of said taxes, together with penafties, interest, .~..~,1
and costs that may accrue in addition thereto, is a lien in favor of the United States upon ~
all prope~ty and rights to property belonging to said taxpayer. K~ ~'6
NAME OF TAXPAYER
Edd Chester '
RESIDENCE ~~~t~SS
1710 N. 22nd St.
Ft . Pierce, FL 331t52
UNPAID BALANCE
KIND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
! (a! Ib! fc) Idl lel
i
943 12-3~-?5 4-5-76 59-1192203 $ 1119.25
~ !
PLACE OF FILING ~ Clerk of Circuit Court T
St . LuCie Coul7ty TOTAL ~ ~ 9•~5
Ft. Pierce, FL 331~52
WITNESS my hand at Ft. Pierce, , on this,
the 28t~ay of M~ . 19 ?6
SIGN ~ ~ TITLE
h~ - Group Hana~;er
.
lN0 E: Certilicate ot otficer a~thorired by law to taks acknOwl~ci9ments is nof essential to ihe valicfity 01 Notice of FWerN Ts,c Lien G.C.M.
26419. C.B. 1950 1, 125.) ~e~
E c ~ 2~J ~
~ PART 1- To be relained by recording o~ii;e
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