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Fwm 668 DE?ART~EMT 0F TNE TIlfAtU11Y-1MTE~pAt IIEVEIIUE SERVICE Fp~ ~tionN uf By Re~C+Wdi~ /iq-
hr! :
iR~v. ~2as) NOTICE OF fEOERAL TAX LIEN UNDER INTERNAL REYENUE LANIt '
DIST IJa01[8OtlPill4 1 L M6 :
, ~ : - 34~'7'JEi
PursUant to the provisions of Sections 8321, 6322,~and 6323 of the Internal Reveaue
Ccxle, notioe is hereby given that there have been ~ under the IMemsl Revenue 18ws n~
of the United States against the following•narned taxp~lyer, taxes (inctuding interest ind .
penalties) vrhich aheir demand for paymertt ihereaf r~tnsin"unpaid, and that by virtue of ~ ~ .'~w
the above-mentioned statutes the amount of uid taxes.,together witfi penslties, interest,
and costs ttqt may adsue in addiiion ttte~eto, i: s lieri ih favor of the United States upon a~=~~+'~~
a0 PropettY end rights tt~ ProPertb bebngin9 to said taiipayer. •'~i ~av$°
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NAME OF TAXPAYER ~
Jaro~te & Dessie Be~t~ja~in ~'~f h. ~ ~ ~ -
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RESID~NGE 1Jo11csr 1~". . " ` r~ ~
?707 ~
Fert Pirerce,F1.33452 _
• tJNPA1D BAlAf~1CE
KIND Of TAX TAX PERtOD ENOEO D/tTE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMIENT
(s1 (b1 Ic) (df Id -
lolt0 12/31/73 12/16/T4 248-,44-2384 684.q1
io~lao . i2/3i/?4 8/25/75 248-~4 238t~ 682.96
PLACE OF FILING CiTCUit COUTt
St.LuCie COUAty TOTAL S 13G7.BT
Ft.Pierce,Fl.
Orlancio,Fl. ~
WlTNESS my haMi at , on this,
the ~ 26day of S~t 19 ?6
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SIGNATURE TITLE
. . KS (iRUIIP MANA~R ~ _ ~
~ (NOTE: Cwtif iuq of OftitK autho~ii~d by Iwv to talt~ ~cknowNdpin~nd b nOt ~sf~niitl to d~ wlidity Of NotiO~ Of FfdMM Tatt LNn G.C.~R.
~.,9,~...,s~.,.,z5., ~~57 ~
PART 1- To be retained by recording office ~
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