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Form 668 DepaRment of the Treasury -Internal Revenue Service
(Rev.September1978) Notice of Federal Tax lien Under Internal Revenue Laws
District Serial Number Fo. option,/ use by /tecordinq or/ice
Jacksonville Florida 199 MAY -9 PM 2 43
As provided by sections 6321, 6322, and 6323 of the Internal Revenue Code, i1~ IJCt CDC
notice is given that taxes (including interest and penalties) have been assessed
against the following-named taxpayer. Demand for payment of this liability has P Yf'OUA R ~ [L
been made. but it remains unpaid. Therefore, there is a lien in favor of the United . REt;ORO YERtFIEtI '`~T~
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 ~~46
accrue.
Name of Taxpayer
David Eubanks
Residence
407 Dundas Court
Fort Pierce Florida 33450
Unpaid Balance
Kind of Tax Tax Perbd Ended Date of Assessment Identifying Number of Assessment
(a) lb) [c) ld) ls)
i -
104 12-31-75 O1-01-79 587-16-4574 240:58
~ 1040 - 12-31-78 12-18-78 " " " 57b•24
~ 1040 12-31-77 11--27-T8 " " " 2ob.32
~ 1040 12-31-78 05-14-79 " " " 279.6A
I
Place of Filing
Clerk of the Circuit Court Total = 1360.14
St. Lucie County Courthouse
Fort Pierces Florida 33450
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This notice was prepared and signed at Fort Pierces Florida , on this,
• ~ i
the 8th day of ~Y ,18 79
Si Title
~ Revenue Officer
te: Cartit to of ollk sutAorized by law to take acknowladpmants Is not assanfia/ to tfN valldNy of Notke of
- dsral Tar Lien O.C.M. 2 , 1~54t, C.6. t?5.) V ~ ~
~i~ ,-~>~,.r~J Form 668 tRev. S}78)
Part 1- To be kept by recording t7~TffCret _