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Form 668 t~pariment of the Treasury -Internal Revenue Service
(Rev.Sepiember/978) Notice of Federal Tax lien Under Internal Revenue Laws
District Serial Number For Optional Use Dy Recording Office
483139 t9~0 APR I5 PH ~ 25
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As provided by sections 6321. 6322. and 6323 of the Internal Revenue Code. S ALA.
notice is given that taxes (including interest and penalties) have been assessed S
against the following-named taxpayer. Demand for payment of this liability has OLERNCIRtX11T~ TD
been made, but it remains unpaid.. Therefore, there is a lien in favor of the United vccette ~'ERfit[f1
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
accrue.
483139
Name of Taxpayer
JOFIN B do !lARII,YN F KOf~ft
Residence -
119 W KNAPP ST
RICE LAIC WIa 5tIB68
- Unpaid Balance
Kind of Tax Tax Period Ended Date of Assessment Identifying Number of Asaessm~lt
(a) [D) lc) [d) ls)
1040 30 7612 8-15-77 390 42-]A32 619.27
I~ 1040 30 7712 7-30-79 390-~+~1032 1p61.33
logo 30 7812 6-13-79 390-1.21032 ~ 9~a.7'o
i
r
~ Place of Filing
Qerk oY E~rcuit Court
~ St. Lucie aunty Total ; 2,605.30
~ Fta Pierce, Florida 33450
This notice was prepared and signed at Rice Lake, iil. 54868
on this,
the 26th day of March ,19 ~
Signature /j Title
C/'~ ~ REYENIJE OFFDC.EFi
• LarSOn
(Nas: Cartiliute o1 ollicer authorized Ay law to fake acknow/edyments h not essential to tDe validity of Notice o1
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