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Form V68 DeP=~ment of the:~easurY • Intemal Rwonue 8ervice
(Rev S~ptember1~78) Notice of Federai Tax Lien Under Internal Revenue laws
District Seriai Number - Fo. oa~,a,.i u,~ Dy Rscadiny uH,e~
J~c~vi~.s i9~9 JUN 29 A!! ~ 03
As provided by sections 6321. 6322. and 6323 of the Intemal Revenue Code. ED 1~?EKD pR~EC c,ED
notice Is given that taxes (inctuding interest and penalties) have been assessed RA
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against the fdlowin~-named taxpaYer. Demand for payment of this liability has CLERK tIRtUR
been made. but it remalns unpaid. Therefore. there is a tien in favor of the United RECORO VERIftfD
States on all property and rights to property beionging to this taxpayer for the
amount of these taxes. and additional penalties, interest. and c~sts that may
~e. 4~so .
Name of Taxpayer
JAMBS ~ SARAH BR01~'N JR.
Residence ~
605~ No. 17th Street •
Fort Pierce, FL 33450
Unpaid Balanoe
~ . Kind of Tax Ta~t Period Ended D~ate of A~t IdeMifyfn~ Number of Assessment ~
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~ 1040 ~12-31-74 12-27-76 267-06-6530 490.80 .
~ 1040 12-31-75 01-03-77 " 640.36
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~ Placeof Filing Clerk of Circuit Court
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St. Lucie County T~~ _
Ft. Pierce, FL 33450 1,131.16
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This notice was prepared and signed at Melbeurne~ FL• on this.
the~}~ dayof ~ .19 ~Q
Signature Titie
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~ pbc C~rtiliut~ o/ Ik~r autAwitW by l~w to f~ks acknowlWpm~nts ls not ps~ntiN ro tM o~ Notic~ d
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