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Form 668. Department of the Treasury • IntKntal Rewrwe 8•rvice 491NaI":Z
Notice of Federal Tax Lien Under Internal Revenue Laws ~
(Rsv Ssptembsr 1878) `
District Serial Number F« O1N1ont? us• g? AseordUrp Onte• '
Jacksonville ~ ~ ~~s ~8
As provided by sections 6321. 6322, and 6323 of the Internal Revenue Code.
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 Unit
Slates 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
accrue.
Name of Taxpayer 492044
Leodn
&~Nancy Hollarxi
611 North 24th St.
Fort Pierce, Fla. 334,56
Unpald Balartos
Kind of Tax Tax fi'erbd Ended Dols of Assoeamatt Idsntiifyktg Nwnber of Ass~tent
(b) fo) (d) [•I
1040A 12-31-79 41 419-A8-5040 212.34
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Place of Filing
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Clerk of the Circuit Court Tots = 212.34
St. Lucie County Courthouse
Fort Pierce F1A.
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This notice was prepared and signed at Fort Pierce. Fla. , on this,
18th June 80
i the day of ,19
Signature / Title -
~ C. v
! C. oran, Jr. Revenue Officer
[Mott c«Ntku• of orlk« eufhoiiz•d law ro rak• scknorldym•rm !s not •ss•rutd r0 th• vatid~ry? a1 Notk• at
F•a«d T•r L!•n O.C.Y. ?ti~1q, 1Q6<ri, C.B. 1?a.)
~ - Bt;~1~f P~6E~~ •Psrl 1 ~lTo bs kePt~bfl q_~~ Fonm 688 cRev. 9~~s)