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Form 668 ~iPART1lENi OF 1Hf TREASURY INTFi1NAl REVENUE SERVICE For Opt~onal U 8y RecOrding OI/rCe
,REV. ~z ~a? NOTICE OF FEDERAI TAX UEN UNOER INTERNAL REVENUE LAWS T
~ISTRICT SERIAI NUMBER fILEO AM;. ~ c
Jacksonville = or.~~p
ST. ~~CIE CJUNTY FtA.
Pursuant to the rovisions of Sect~ons 6321, 6322, and 6323 ot the I~ternal Revenue ~'~Gf'' "'''jRAS
i.ode, notice is her by given that there have been assessed under the Internal Revenue laws RFrr
v~K ~~~`~~IT CQURT
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uf the United States aga~nst the fo~lowing•named taxpayer, taxes (including interest and
~~e~~alties) which after demand for payment the~eof remain unpaid, and that by virtue of ~ 30 Q ZZ `V ~1~
the above-mentioned statutes the amount of said taxes, together with penalties, interest, w R~~
and costs that may accrue in addition thereto, is a lien in favor of the United States upon
~il property and rights to property t~elonging to said taxpayer.
NAME OF TAXPAYER
Thomas C& Barbara Lilly _~~-r-~~-~ 33~,,2y
RESIDENCE Rt I1~ BO][ 51 ~
Ft.Pierce,Fl. 33452 ~ '
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~ i ` UNPA10 B4LANCE
KINO OF TRX TAX PERIOD ENDED DATE OF ASSESSMEM1tT ~ tDENTIFYING NUt~1BER ~ OF ASSESSMENT
(si i (b? !cl ~ ;d! ( !el
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lOltO j 12/31/?3 I 11/1?/?5 ; lt21-30-9572 26??.T1
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! PLACE OF FILING Cl@I'k~ C~2'CLL~t. Cotll't
~ St.Lucie COtulty ° TOTAL S 2677•~
Ftl.Pierce,Fl.
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; WITNESS my hand at ~'l~~s~• _ , on ihis,
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,hel8th dayof_ Jurie , 19 76
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~ SIGNATURE TITIE
z . H. JSN S GRODP HANAQ~BR
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(NOTE- Cert~llcate of olf~cer author~re.f by law to take ar_knowledgme~ts ~s not essenhat ro the vai~J~ty o~ Notice nt Federal Ta~ lien G.C.M.
26419. C.B. 1950 t. 125.i
~ PART 1- To be retained by recording o(iice ~ r~ 254 ~~f
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