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Form 668 Department of the Treasury - Mtsrnal Revenue Service
(Rev Septemberlp78) Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number F sorai! uss er R•cortlinp ortic•
JACffiONYILI~ 4~~'~ 4$
As provided by sections 6321. 8322. and 6323 of the lntemal Revenue Code. ~0 ~ RA A. _
notice is given that taxes (including interest and penalties) have been assessed CLEI~Ii
against the fdlowin amed ~ COINtf
g-n taxpayer. Demand for payment of this liability has R~piq` yERfF1E® ,~C
been made. but it remains unpaid. Therefore. there is a lien in favor of the United
States on all property and rights to property belonging to this taxpayer for the 4~5
amount of these taxes. and additional penalties. interest. and c~sis that may
accxue.
Name of Taxpayer
Don Johns Paining, Inc., a corporation
Residence
5401 Citrus Ave.
F`t. Pierce F1. .
Unpaid ealanoe
Kind of Tax Tax iPerbd Ended Date of Asaessmern lderdii)littg Number of Atrseasmertt
ru ro~ rw [a~ to
940 12-31-i~9 04-o?-so 59-i8oi3oo 152.03
941 12-31-79 o3-3i-8o 59-i8oi3oo 3,6z3.o3
Place of. Filing
Clerk of Circuit Court Total = 3, TlB.Ob
$t. Lucie County Courthouse
Ft. Pierce, Fl.. 33450
This notice Was prepared grad Signed at ~ • Pierce' ~ • , On this,
the 9th ~y ~ June ~ g 80.
Signature Tine
Ray Revenue Officer
c • or orNer uMorri•o by Mw ro tel~c. acbwwr•dpm•nts a not ssauw ro rM wiwxy a N«1c• a
F flan O.C.Y. 2 1560.1, C.B. 12b.)
•
~ ~ Part 1- To bs kept by reCOrdlrq affioe' Form 868 (Rev. 9.78)
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