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Form 668 _ ~eP~Kment ot the Treasury - Int~rnal Revenue Service
(Rev.Septembert978) Notice of Federal Tax Lien Under internal Revenue laws -
DistriCt Seri81 Number Fo~ Optional Uss Oy Reeord.ny OHic~
JRckeonville ~
As provided by sections 6321. 8322, and 6323 of the internai Revenue Code,
notice is given th~t taxes (including interest and penaities) have been assessed r„~ r 0 RC ~ L
against the following-named taxpayer. Demand for payment of this liability has _
been made, but it remains unpaid. Therefore. there is a lien In favor of the United
States on all property and rights to property belonging to this taxpayer for the 4~~2,~,~
amount of these taxes, and additionat penalties, interest, and costs that may
acCrue. ' I~ f~, r. ~ 5 ~+j~ i 1. 3 8
Name of Taxpayer ~
~u~er.~ & Emmt~ Br~dley ~
Residence
2~0~ San M~rcoe Ave.
rt. Pierce, Fl. 334-:~ .
Unpaid Balance
~ lUnd of Tax Tax Period Ended Date ot Assessment Identifytny Number of A~e~t
~ [a) lD) (c) (tl)
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i io~o i2_3i-?5 0-2~~-7`~ zlo-32.:5~,7 ~ ~6,325.55
' l040 ~ 5-2a?7 " 15.95
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Place of Filing .
Clerk af Circuit Court
} St. Lucie ~~unty courtr.ouee Total i 6, 341. ~0
~ ~'ti . Pi erc e, Fl. 33~+54
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~ This notice was prepared and signed. at F p~ p~ F1. , on this,
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~ the~ day of ~`it'rCr ,19 7~. .
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~ ,L,/ Rev en s e 0 f f i e er L"'" ~f ~
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' Cs~tiliuts olbce~ ~utA by law ro uke acknowledpments h not ossMti~! to M~ wNdify of Not/C~ of
d T~x LIM O. .AI.1A~19. 1 41 C.B. 125.)
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~ Part 1- To be kept by recordiny office Form 668 (Rev. a78)