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Form 668 Department of the Treasury - Internal Revenue Service
(Rov.Septemhert978) Notice of Federal Tax Lien Under Internal Revenue Laws
District Ser181 Number For Optional Uss by Recording Otlics
Jacksonville, Fl 1919 NOY 19 Ptii ~ 39
FILED ANC ta~ta,iW1D
As provided by sections 6321, 6322, and 6323 of the Internal Revenue Code. ST.IUCIECOtfNTY.FIA.
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 CLERK CIRCUIT ct;~Jai
been made, but it remains unpaid. Therefore. there is a lien in favor of the United RLCCao vLRiF!rr G~..dt ~
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~-ccoo
accrue. s~va)
Name of Taxpayer David & Marva Cato
Residence 803 Avenue C
Fort Pierce, Florida 33450
Unpaid Balance
Klnd of Tax Tax Period Ended Dats of Assessment Identifying Number of Assessment
la) lb) lc) ld) l~J
1040 12-31-77 09-18-79 262-34-1271 476.12
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Place of Filing Clerk of the Circuit Court \
St. Lucie County Courthouse Total = 476.12
Fort Pierce, Florida 33450
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This notice was prepared and signed at Fort Pierce, Florida , on this.
the 7th day of November .19 79
Signature Title
J ^ Revenue Officer IlR ~
ote: Certificate of of authorized by law to take acknowledgments is not essential fo the vatidlfy of Notice of
ederal Tax Lien O.C.M. 19, 195x1, C.B. 125.)
Part 1,= To'be.kept byrt~cording officer ~ Form 868 (Rev. x78)