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~ - _ 448382 Form 668 [)apartment of the Treasury - Inlernat Revenu© Service ;Rev. September 1978;' Notice of Federal Tax Lien Under Internal Revenue Laws - l District ;Serial Number ~ For Optional Uso oy Recording Olfice i~~9 JU;~ f 9 Ali 3' 43 JACKSON~/ILLE 1 - - -----1- - ~ i11t:0 ENO t=iCOttUt:O As provided by sections 6321, 6322, and 6323 of the Internal Revenue Code, ~ ST.LUCIE000HiiY.fIA. notice is given that taxes (including interest and penalties) have been assessed { RDGER f 01TRAS against the following-named taxpayer. Demand for payment of this liability has ~ CIEIiK CIRCUIT CO T been made, but it remains unpaid. Therefore, there is a lien in favor of the United ! RECt)~D ~~ERt~lia7_ ~ . States on all property and rights to property belonging to this taxpayer for the !i /1 Q~ amount of these taxes, and additional penalties, interest, and costs that may { 44va~7~ accrue. Name of Taxpayer LEWIS D. BURI:S Residence 315 tt. 13th St. Apt B Ft. Pierce, FI. 33450 Unpaid Balance Kind of Tax Tax Period Ended [fate of Assessment Identifying Number of Assessment f (a! (~I [c) (d! (e! 1040 12-31-7G 4-23-79 419-38-1087 215.9E 1040 12-31-7£3 4-30-79 " 247.44 i fa i _ Place of Filing Clerk of Circuit Court St. Lucie County Total = 4G3.42 Ft. Pierce, FL 33450 t< y This notice was prepared and signed at tfelbourne, FL , on this, the 7th day of June .1 g 79 Signature - Title (Crandall) ~ k (Nolr. Csrtdkafe of officer auMOriz Dy law to tske acknowledymanls not essenllal to tho validity o[ Nolic• of FWera( Tai Lion Q.C.M. 284ts), to50- . C.B. t25.) (,t ~ (L O R~~. ~.¦L Part 1 - To be kept by recording o$iceK PACE - ~ Form 668 (Rev. 878)