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_466502
Form 668 Department of the Treasury -Internal Revenue Service
(Rev.Septembert978) Notice of Federal Tax Lien Under internal Revenue Laws
District _ Serial Number For ovrronal use by ltecordmy otr«;e
Jacksonville !9T9 NOY 19 Pk ~ 39
As provided by sections 6321. 6322. and 6323 of the Internal Revenue Code, FILEO I?NC )t~t:GRi1tU
notice is given that taxes (including interest and penalties) have been assessed sT LI)CiE tOUNtY Fie.
ROGER POITRAS
against the following-named taxpayer. Demand for payment of this liability has CLERK CIKCUIT COIIRT
been made. but it remains unpaid. Therefore, there is a lien in favor of the United F:-~£.~Q vr~:~,-~, g _ _
States on all property and rights to property belonging t6 this taxpayer for the
amount of these taxes, and additional penalties. interest. and costs that may
accrue.
466502
Name of Taxpayer
John L. Disher
Residence
1010 Seaway Dr.
Fort Pierce Fla. 33450
Unpaid 8alancs
Kind of Tax Tax Period Ended Date of Aasestment Identifyitp Number of Assessment
fa) (b) (e) Id) f~)
~I 1040 12-31-76 05-16-77 2b8-34-4697 $951.18
I
Place of Filing
Clerk of Circuit Court
. St. Lucie County Courthouse Total = 951.18
Fort Pierce, Fla.. 33450
~ This notice was prepared and signed at Fort Pierce, Florida , on this,
the 5th day of November ,fig ?9
Sigr~tur Title
C nit3~ PaGEi8
C. .Moran, Jr. Revenue Officer d~Jl(
(Note: Ce?tiliuto of oflk:er authorized by law to take ecknowlsdyments is not essential to the valkilry W Notk:e of
FeWral Tax Lien t3.C.M.2tHtp, IDS4r,C.B. 1?b.)
.Part t~To be kept by recording office f Form 668 (Rev. 9-78)
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