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4483'78
Form 668 Department of tAe Treasury -Internal Revenue Service
(Rev. September 1978) Notice of Federal Tax Lien Under internal Revenue Laws
District Serial Number F« oaio~.t use by Aec«dinp once
Jacl:somrille~ ?1 - X919 JU~I 19 43
As provided by sections 6321. 6322, and 6323 of the Internal Revenue Code, f
LIED an0 Fi:C(Iwltu
=T.LUC)E C4'JNTY.F~A.
notice is given that taxes (including interest and penalties) have been assessed ROGER POITRAS
against the following-named taxpayer. Demand for payment of this liability has CIRCUIT COU
been made, but it remains unpaid. Therefore, there is a lien in favor of the United Rf.Ct?1t0 YERIFIC" - ~
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 4~3~~
accrue.
Name of Taxpayer
L. C. ~`::liza i:iller
Residence 308 ~h Street
Fort Pierces Fl. 331.50
i
Unpaid Balance
Kind of Tax Tax Period Ended Date o1 Assessment Identifying Number of Assessalertt
[a) lb) ~ [c) ld) le)
101;0 12--31-7g o5-~ 1t-79 2bi-~ ~-g~aG 633`. 3fi
i
5d
2
9
b
1
Place of Filing -
Clerk of the Circuit Court
St. Lucie County Cou.°-thouse Total S 533.3$
- For` Pierces Floz•~da 331;50
x This notice was prepared and signed at Fort: ~ =resr Flari~~s , on this,
.~3
the Lh day of +'i~~ .1979 -
Sig Title
:sev~~rn~e 0° cer -
i
Certitiuts ollicer aurA«ized by law to fake ecknowlsdymsnta is or ~ to rM validity of Notice of
d Tyr Uen .~1. ?f3~1ir, /DSaI, C.B. f?SJ
{ Part 1 - TO be kept by recordirq office ' - Form 668 (Rev. a78)