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Form 668 Department of the Treasury - Internal Revenue Service
(Rev.Septembert978) Notice of Federal Tax. Lien Under Internal Revenue Laws
District Serial Number For Optional Use by Recording Office
Jacksonville
As provided by sections 6321. 6322. and 6323 of the Internal Revenue Code. MAY -9 ~ ~ ~ 3
notice is given that taxes (including interest and penalties) have been assessed Ft ~ p RE j~pE ~
against the following-named taxpayer. Demand for payment of this liability has ST UC C~po1~~iT .F
been made. but it remains unpaid. Therefore. there is a lien in favor of the United ~q~ 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 RECORD YERtF)ED
accrue. ~4a~~
Name of Taxpayer
Fred L. & Helen Bowman
Adam 8 Eve Hair Styling Boutique -
Residence
?703 S. U S 1
Ft. Pierce Florida 33450
Unpaid Balance
j Kind of Tax Tax Period Ended Date of Assessment Identifying Number - of Assessment
la) (b) (e) 1d) fe)
i
' 941 ~ 09-30-78 3-19-"79 59-6533421 2116.68
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Place of Filing j
Clerks Circuit Court Total =
u St. Lucie County 2116.68
w Ft. Pierces Florida 33450
This notice was prepared and signed at Ft. Pierces Florida , on this,
the 8th day of ~Y ,19 79
Si Title
Revenue Officer
~ Csrfilicafe of oNicer eut zed Dy taw to take acknowledpmenfs h not essential to the wUdify o/ Notice of
r~ ra1 Tax Lien O.C.IU. 211~1ir, 1, C.B. 125.)
t) Q
Part 1. - To be kept by recording a~~. , glCf Form 668 (Rev. 9-78)