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Fot/n 668 Department Ot tAe Treasury -Internal Revenue Service •
(Rev. September/978) Notice of Federal Tax Lien Under Internal Revenue laws
District serial Number 4~$~S For Optional Use Dy Racadinp Office
Jacksonville, Florida
b80 llU6 20 NI i~ 42 ,
As provided by sections 6321. 6322, and 6323 of the Internal Revenue Code. f 0 A PECOftOfO
notice is given that taxes (including interest and penalties) have been assessed g~' iity._f~T.
against the following-named taxpayer. Demand for payment of this liability has ~ f'OITTR~A
been made. but it remains unpaid. Therefore. there is a lien in favor of the United fX SAT t~"
States on all property and rights to property belonging to this taxpayer for the (~CORO YEtt(FIEO -
amount of these taxes. and additional penalties. interest. and costs that may
accrue.
4y6816
Name of Taxpayer
John A. Ostrander
Residence
1461 Nancy Lane
Port St. Lucie, Florida 33452
Unpaid Balance _
Kind of Tax Tax Period Ended Date ~ Assessment Identifying Number of Assessment
U) !6) !W (d) !a)
I'~ 941 09-31-?5 07-04-77 366-44=8148N $ 4,274.91
Place of Filing Clerk of the Circuit Court _
St. Lucie County Courthouse Totel s 4,274.91
Fort Pierce, Florida 33450
This notice was prepared and signed at Fort Pierce, Florida , on this,
the 19th day of August ,19 ~
Si ature Title
Revenue Officer
Ot Caitiliute o icsr authwizad ny law to take acknowladpments is not assaoUa/ to the validity of Notice of
`ede I Tar Uan C. . 26~tp, tp50-t, C.B. t25.) fJlt
Part 1.- To be kept by recording offic e~ PEE ~~orm 688 (Rev. 9-78)