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Form 66$ department d the Treasury - Intem•I Revenue Service
~Rer ~~,~,1978, Notice of Federal Tax lien Under Internal Revenue Laws .
District Serial Number Fo. oar~orwl th• Dr Racordjnp onk•
Jacksonville r Florida AY 20 AM i~ 04
As provided by sections 6321. 6322, and 6323 of the Internal Revenue Code. Eo
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 ~g96Ra
States on all property and rights to properly belonging to this taxpayer for the
amount of these taxes. and additional penalties, interest, and costs that may 45
accrue.
Name of Taxpayer
Donald J . Lc tiaslys Heller
Residence
P.O. Box ~i18
Fort Piercer Florida 33450
~i Klnd of Tax T_ax Period Ended Data at Assessment IdetaNyUtq Number Assesantertt
U) [D) lo) ld) ~ la)
1040 12-31-78 ?-3C-?9 052-26-8356 52'j.16
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Place of Filing
a Clerk of the Circuit Court
St. Lucie County Courthouse Total ; 527.16
g Fort Pierce, Florida 33450
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~ This notice was prepared and signed at Fort Pierce Florida , on this.
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the 6th ~y of May ,18 ~ •
Si u Title
Revenue Officer
tnx Fort Pierce
G.cntear•- - utnorlr•d a faw ro tafc• acknorvNdpmanra q ~ ro rh• valldwy a MoHc• a
` F Tax LJan .2M1ia fO50~1,C.B. 126.)
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Batt 1- To be kept ar racorang office . _ F«m eee cRsv. a~a)