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Form 668 Department of the Treasury -Internal Revenue Service
(Rev.september1978) Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number Fo. ovtionai us. by a•corduw otrice
J ACICSONVIhLE 4~~~~ ~ ~ ~ ~ ~ 2 36
As provided by sections 6321. 6322. and 6323 of the Internal Revenue Coke, ~j~,
notice is given that taxes (including interest and penalties) have been assessed
against the following-named taxpayer. Demand for payment of this liability has
been made, but it remains unpaid. Therefore. there is a lien in favor of the United fiLlOfN Nf:ft~Kfi_..._~~
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 482591
accrue. ,
Name of Taxpayer
Calvin Cobbs
Residence
260i Walker Dr.
4't. Pierce, F1. 33450
Unpaid Balance
Kind of Tax Tex Perlod Ended Date of Asse:stnent tderltifXinq Number of Assessment
[a) lb) lc) ltl) lam)
- - _ - ~ .
1040 12-31-?8 04-02-?9 265-54-5222 438,x'
Place of Filing
Clerk of Circuit Court 1 606.78
St. Lucie Gounty Courthouse Totel S r
Ft. Piercer F1. 33450
This notice was prepared and signed at ~ • Pierce. ~~l . on this,
the,~_ day of P`~arch .1980.
Signature Title
(Nee. Certil of oNicw a Pied by iaw to take acknowiedyments b not easentiN to tM vatidifp of Notice o/
Federal Ta: U .M. 261 1 1, C.B. t25.) -
Part 1- To be kept by recording offlt'~"' ~ p~ ~ry-+iorm 668 (Rev. 9-78)