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Form 668 pepartment a the Treasury -Internal Revenue service
(Rev.Septembert978) Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number Fo? Optlonel Uss Dy Recadio8 Offics
4945 1980 AllG 28 AM ~ ~
Jacksonville, FL
FILED RND FEC 0
As provided by sections 6321. 6322. and 6323 of the Internal Revenue Code. St,tgC1E Cp~i Y.F A
notice is given that taxes (including interest and penalties) have been assessed ROGER POITRA~
against the following-named taxpayer. Demand for payment of this liability has CLERK CiRCU11 COtIR~
been made, but it remains unpaid. Therefore, there is a lien in favor of the United ECCPt~ VERIFIEO____-~~
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
ague. 49'7645
Name of Taxpayer
Thomas F & Frances B Nugent
Residence
181 Surfside Avenue
Port St Lucie, FL 33450
Unpaid t3alance
Kind of Tax Tax Period Ended Date of Assessment Identifying Number of Assessment
(a) f0) fc) (O)
i
it
~ 1040-30 7912 06-30-80 109-24-3797 1,576.35
Place of Filing Clerk, Circuit Court
St Lucie County Tp~l = 1,576.35
Ft Pierce, FL 33450
This notice was prepared and signed at Ft Pierce, FL , on this.
the 21st day of Auitus t ,1g 80
Sig Title
HW Revenue Officer
(N r. CartHlca/e o1 auNwrized M law to uke acknow/ad8menfs k not assanriN fo t1N wlkL7y o1 Notk:e o/
F Tu Lksn O.C. . ? 18, S 8541, C.B. 1?5.) fIK
Psrt 1.- To be kept by recordirlgbf~~ P~~~~ Form 688 (Rev.9-78)
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