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Form 868 ~~T a~~~~ ~y~ ~ fa Optiona/ Use By Retording OH?
+aEV. t-»? NOTICE OF FEDERAL TAX LIEN UNDER INTERNAE REYENUE LAWS
DISTRICT SERIAL NUMBER ~ 3~~
Ja~xs~~ue ~
Pursuant to the provisions oi Sections 6321. 6322, and 6323 of the Intemal Revenue
Code. notice is hereby given that there have been asse8sed under the Internal Reve-
nue laws ot the United States aga+nst the following-named taxpayer tazes (including
~nterest and penaltiesl which after demand foi peyment thereof remain unpa~d. and
chat b~r v~rtue oi the above-mentioned statutes the amount of said taxes. together w~th
penatties. interesc. and costs that may accrue m additwn thereto. ~s a lien ~n favor oi m : occ
che United States upon all r ~
p operty and rights t0 propefty belong~ng to s8id taxpayer. ~.~+i
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NAME OF TAXPAYER ~ .;`c' oc°~76..
y,J •~_+=~ac~
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~ary. D Viright ,o• ~ J.
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RESIDENCE 7ppM~~ ~ -
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Tangelo Village~ Lot 96~ 3?AO S 7th 9t - ~-n
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- UNPAt BALANCE
KIND OF TAX ~ tA?( PEAlOD ENOED DATE OF ASSESSMENT I~EHTIFYING NUMBER OF AS E ENT
(a) (b1 tc) (dl e{ •
101~0 i~-31-?5 5-23-?7 27~-26-bg26 39b.38
10l~0 1~-31-?6 5-23-?7 " 1, 66~.49
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PIACE OF FIUNG
Clerk of the Circuit Court TOTAL S 2~~'4'87
St Lucie County Courthouse
Ft Pierce F1 33450 ~
WI7NESS my hand ac N~ ~'ierce~ Fl , on th~s.
the ~h day of ~Ch ~ 9 78
SIGNATURE TI7LE _
1
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~ Revenue OPficer
IN E- Grtrtic+'•: •.~f~cer suMor~ed by Isw to tate ackrawledgmsnt~ ~s not essent~ to iM vshdty of Not~u o~ Fedsrat Tsx l,en G C.M
28~19. C.B. 19. : ~ •'.5 ? -
PART 1- To b~ retai~~ed by recording uHice D~1~'1.(~4 ~
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