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FO~ 668 ~Da~tmeat of the Troasury • Intsmal R~wnuo S~evice
(Rev.S~ptemb~1~78) Notice of Federai Tax Lien Under internal Revenue Laws .
DistriCt Seriai Number Fw oouonai usa er ae~wd~ onre.
JACKSONVILLE
As provided by sections 6321. 6322, and 6323 of the Intemal Revenue Code.
notice is giver~ tfiat taxes (including interest and penalties) have been esses~ed
against the follorving-named taxpayer. Dema~d for payment of this liability has ,
been made. but it remains unpaid. Therefore. there is a lien in favor of the United ~Np RE~ORDE~' `
States on all property and rights to prope?ty belon9ing to this taxpayer for the fiLE~ COU~TY• ~LA'j '
amount of these taxes. and additional penalties. interest. and oosts that may ST. ~,E ~ F RI~ 0 j
aocrue. ~ ~ ~.:R,s ;
Name of Taxpayer Clifford ~ F.mma Robinson , 29 PM 2' 03 ;
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Residenoe - TP G ; -
420 N lOth St F~~-Q~ T `
Fort Pierce, Fl 33450 ~L~RK C1RCU?j L~U~' :
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Unpaid Bal~e
Kind ot Tax Tax Period Ended Ds~s oi Assessment ldaqiff?irq Number of Assessmsnt ~
(U [W (c) ld1 (u ' c
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~ 1040 12-31-77 OS-O1-78 265-40-6264 3,025.87 ;
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~ Place of Filing CLERK, CIRCUIT COURT
, St. Lucie County
` Fort Pierce. Florida Total = 3,025.87
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~ liiami, Florida ~
~ This notice was prepared and signed at . on this.
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~ the 20 day of .19 ~ ~
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~ Signature Titte
~ Chief, Office Branch '
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~ Mobc Jc~ of oHic~r a orized Dy l~w ro a knowlsdpmMts !s nof ~ss~ntial to UN va~iWfy of Nodc~ W ~
Fw.r.~ T.,~ u.~ o.c.~u. 2e~ ~sa~, c.e. ~za.~ fl R~ ~
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p= Form 668 (Rev. 9-78)
PsK 1-,To be kept b~? recordinq offbe: ,
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