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F~ 668 DepaRment of the Treasury • int~roal Revenue Senice
(Rev.September19783 Notice of Federai Tax Lien Under internal Revenue Laws
District Seriel Number Fo. ow~aw us~ Oy Rscwdiny OHice .
Jacksonville, Fl. :+.:'9 -7 3' 3!
rt~ciJ AhL'I~Cww~c~
As provided by sections 6321. 6322, and 6323 of the Intemal Revenue Code, ST.L~tot~iXFi.11,
notice is given that taxes (including interest and penaities) have been assessed R~
against the fotlowing•named taxpayer. Demand for payment ~of this liability has a~ ~~~~a~~
been made, but it remains unpaid. Tberefore. there is a lien in favor of the United r~~~ ~'~~.r-"~r__
States on all property ar~d rights to property belonging to this taxpayer for the
amount of these taxes, and additional penalties, interest, and costs that may ~p~c~
accrue. ~v~.7~.7v
Name of Taxpayer
Richard Bass
Residence
2101 San Maroos Avenue
Fort Pierce Florida 0
UnpaW Bstance
Ktnd of Tax Tax Perlod Ended Date of Assessment Ide~tifyin~ Number of Assessment
(a) (6) fc1 ld) (s)
; 943 12-31-78 3-19-?9 59-14025b0 2,861.5?
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Place of Fiting p_erk of the Circuit Court
St. Iucie County Courthouse Totalli 2,861.57
Fort Pierce, Florida 3345~ ~
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This notice was prepared and signed at Fort Pier~e~ Florida , on this,
Y
~ the 3~h day of M~Y ,19 ?9
~ Sign e Title
~ R. Salyer Revenwe Officer
: (NotK C~rti s o1 ollicsr ~uthwizeo Dy law 1o t~ks acknowl~Opmtn t1U to~~ldlfy W Notic~ W
~ FWNd 7~ O.C.M. 26~tp, 1oSOf, C.6. 125J ~~~~p~ V
i ~~}(t~.. V
~ Part 1- To be kept by recordinp office Form 668 (Rev. ~78)
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