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Form 668 DePa~tmenf of the Treasury - Internal Revenue Service
(Rev.September1978) Notice of Federa! Tax Lien Under internal Revenue Laws
~IStfICt Serial Number Fo? Option~f Use by Retord~ng Olf~ce ,
~rac~::,onville ~ Fl. 1919 NAY -3 PM 12 4 5
As provided by sections 6321. 6322, and 6323 of the Intemal Revenue Code, - F ~?~p kE OKDEO
notice is given that taxes (including interest and penaities) have been assessed S CQUN~~Y. A.
against the followingnamed taxpayer. Demand fw payment of this liabiliy has 1
been made, but it remains unpaid. Therefore, there is a lien in favor of the United 1~ECORO VERIFiEO ~
States on all property and rights to property belonging to this taxpayer for the ~
amount of these taxes, and additional penalties, interest. and costs that may 44Z123
accrue.
Name of Taxpayer
Larry Clan~on
Residence ~7~~ ~~~o a'~oad
~art :
~erce~ :'loricta 33:~~
Unpaid Balance
Klnd of Tax Tax Period Ended Date of Assessment Identifying Number of Assessment
` re~ ce~ c~~ ta~ - [e~
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; 1J1~ 12~-31-76 1} 1G-?9 2~:~--~la 1616 1;~ 590•32
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~ 10'~0 12-3~-77 !F 2j-79 2~~-~~: 1~16 3~6.?_1
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~ Place of Filing
~ Clerk of tne G~.rcuit Cou.rt
:it. Lucie Cow:ty Court~.ouse Total t 4,95~~.53
~3 Fort Pierce~ rlori :a 33:;50
~ This notice was prepa~ed and signed at Fort F~ ~rce~. : lorida , on this,
~ the 1 st day of 1•:av ,19 79
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::;1 T~ver:::e G~fic
~ (N Certificete ol oH' sutborized by !aw fo take acknow/edyments is not essential ro fhe wlidity Of Nofke of
F I T~x l.len O.C.M 2 19. 19541, C.B. 725J
Part t- To be kept by recordinq office _ Form 668 (Rev. ~78)
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