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Fo~m 668 OEVapT~ENt Oi THE iREASURr iNTERNAI AfVENUf SfRVtGE Foi Opt~onal (/se By Retord~ng O~lice ,
IREV. 12 74) NOTICE Of fEOERAL TAX t1EN UIYDER INTERNA! REVENUE LAWS ~ i j
DISTRICT SERIAL NUMBER ~
Jacksonville
Pursuant to the prov~sions of Sect~ons 632~, 6322, and 6323 of the Intemal Revenue 34~42'7 L•
Code, notice is hereby given that there have been assessed under the internal Revenue laws
of ?,he United States against the follow~ng•name~ taxpayer, taxes (including interest and
penaltiesl which after demand for payment thereof remain unpaid, and that,by wrtue of
~he above ment~uned statutes the amount of sa~d taxes, together w~th penalties, interest,
and costs that may accru~ in addition thereto. ~s a lien in favor of the Umted States upon
all property and ngnts ro properiy i,Civ~~y~~.y c~ ,.:x,~~,~r.
NAME OF TAXPAYER
Timothy Daley
RESIDENCE '
322lt ~',ura ~
. ~
1~. rierce, ri. j,3ejjc ; ;
UNPAIp BALAFICE #
KINO OF TAX TAX PERIOD ENDEO OATE OF ASSESSMENT ~ tDENTIFYI(YG NUMBER OF ASSESSMENT
lal tbl Id !d1 lel
- - - ,
1 3
10110 12-3~ -73 07-29-71~ I lt70-54-5123 11~73.80
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•T~WCIC~~' uN1Y 14A.
I~QC~a e1tnA~ ~~~,A~
a~~p~ y=~ ~U~T COURT ~
rt!CAR:'~ yt`
~ ~0 1 ~3 ~+'~a . .
, ~~~42'?' ;
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PLACE OF FILING Clerk~ Cixcuit Court
St. Lucie County TOTAL $
Ft. Pierce, F1. 1473.80
WITNESS my hand at ~1~~~ ~~M'~ , on this,
the 2~~ day of ~t' , 19 ?6
SlGNAT E TITIE
~ ' ,
Gro Hana
( TE: C ficah o1 otiicar ~uthorired 4y law to tNce acknowl~dgmvnts is noT essential to tM velidity o~ Notid o1 F~W~a! Tsx LiN~ G.C.M.
26419. C . 1950 125.1 ~ R ^ /1~~
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