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F~ 668 DepaKment o! the Treasury - Internal Revenue Service
(Rev.Seplembert978) Notice of Federal Tax Lien Under internal Revenue Laws
Oist~ict Serial Number Fw ow~w~.~ uss w Recwa~ on~e
Jacksonville~ Fl. . 1919 J',h~ -7 A~ 32
As provided by sections 8321, 6322. and 6323 of the I~temal Revenue Code. F?LtG A~G N~ t~aucu
notice is 8iven that taxes (including interest and penalties) have been assessed sROGER
POITRAS~~
against the following-named taxpaye~. Demand for payment of this liability has ~RK CIf;CUiT COUR C.
been made, but it ~emains unpaid. Therefore. there is a lien in favor of the United ~lECSnD fE~~?trG__ _
States on all property and rights to property belonging to this taxpayer for the
amount of these taxes, and additional penatties. interest. and costs that may
ac~cnte.
Name of Taxpayer
I.e~•run Doris Ya~m
R~~~~ 31~1 Ckeecho~ee :tosd
Fort Pi~rce~ Florida 334~4
Unpafd Balance
Klnd of Tax Tax Period Ended Date of Assessment Identifying Number of Assa4sment .
(a) (D) fc) [d) (e)
; 1~1~0 i2-31-75 o r~i0~-78 25o-1b-8297 614•23
~ 101;0 12-31-7b J';
-10-78 z6~-16-L297 1, 491.98
j 1~r~ 1~-31-7? 0!r-i2-78 26~-16-~z;~7 592.02
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° THIS LIEh S rILED TO C T DATE OF AS SSt4~NT FOR Pl'.RIOD 12 31-77 to ~
~ G-12-7:i ~rom 7-1 7~i, LIEN UA1~D 22irT) JAriUAP•Y 197 , RECOF'.DED It+ LO01: ~ 2, PAGL #
` 399, CLEP.K ~ 431 1 FILED JAtJUAR 24, 1979.
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_ Place of Filing ~erk o~ the Circu1.t Court
:it. Iucie Courity Couz-t~icu;;e Total ~ b~g~23
Fort Pierce~ Flcrida 3345~ ~
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This notice was prepared and signed at r°rt Fi-~rce~ Flori-ra , on this,
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~ the_2~1d day of s~ar!::ary ,19 ~9
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(Nar. c.n~tic.re: or ar .urnor ed oy aw ro r.~s .cknowi.dpm.nrs u na ~ss•nrier ro rn• rarairy a Naic• a
F~OSn! T~~ LNn O.C.M. 1~. 1~5 1, C.B. 125.)
~ Patt 1- To be kept b~? recordirq o~pQK ~~,0 PACE ~ IIFD~m 688 (Rev. a78)