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Fwm 668 DEfARTYENT OF TNE TREASURY-INTERMAI REVENUE SERVICE FO~ ~tiO~a! Ui8 BY R¢t0/ding Of/iCY
(REV. 12-74) qOTICE Of fEDERAL TAX LIEN UMDER INTERNAL REVENUE IAYYS i~4 ~ lf 4
DISTRICT SERIAI NUMBER . ~~~~06~E~
Q~t~~ U~T
JACxSONVILLT~ ~Z~RK CI~CUIT CO ~ -
Pursuant to the provisions of Sections 6321, 6322, and 6323 of the Internal Revenue RECORD VER!?1E0..••~"~
Code, notice is hereby given that there have been assessed under the Internal Revenue laws ~ i`
of the United States against the following-named taxpaye~, taxes (including interest and
penalties) which after demand for payment thereof remain unpaid, and that by virtue of
the above-mentioned statutes the amount of said taxes, together with penalties, intereit, <
and oosts that may ac~xue in addition the~eto, is a lien in favor of the United States upon
all property and rights to property belonging to said taxpayer.
NAME OF TAXPAYER ~g4~.0 ;
ARTHt1R E. HCCORMI.^~: . _
ALL IN THS FAMILY RBST ,Z$ ~ ~
RE7~~. ~tth St. j
F,`~ . Pierce, FL 33Lt52 ;
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UNPAID BALANCE
KIND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT 1DENTIFYING NUMBER OF ASSESSMENT ~
lal Ibl Icl - tdl !el
i
I 941 09-3~-75 11-10-75 59-1580616 $ 917.17 '
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PLACE OF FILING Clerk of Circuit Court
St. LuCie County TOTAL $ 917.17
Ft. Pierce, FL 3345~
WITNESS my hand at Melbourne, FL , on this, .
the~day of J~ , 19 76
SIGNAT` E,/~ TITLE
C,~!
~ Group Hanager
(NOTE: Ce.tilicate of otficer suthoriz~d by taw to tsk~ xknowlWym~nts is no! suential to the val~dity of Notic~ of Fe~ral Tsx lie~ G.C.M. '
264/9, C.B. 7950~1, 125.!
~ PART 1- To be retained by recording office E'~:~ ~~F ~
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