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Form 668 Oepartmont of the Treasury -Internal Revenue Service
(Rev seotembort9Ta, Notice of Federal Tax Lien Under Internal Revenue laws
District Serial Number Fo. optrarar us• br a•eadiny orr«;•
Jacksonville ~~~42 t~O~! -4 F!I 12~ I2
As provided by sections 6321. 6322. and 6323 of the internal Revenue Code. F°~ `f t,^ ` ~ ` ` p
notice Is given that taxes (includin St i ~ ° ~ i ~ a.
g interest and penalties) have been assessed r-.:.:.:: ~ ~ ; ; s
against the fdlowing-named taxpayer. Demand for payment of this liability has CL~.•r. ;,.~.;.u.; ~;.;,RZ~
been made. but it remains unpaid. Therefore. there is s Tien in favor of the ttnitad ~~___-~.y
States on all property and rights to property belonging to this taxpayer for the
amount of these taxes. and additional penalties, interest, and cysts that may 5L~UV4~r
accrue.
Name of Taxpayer
Builders Industry Corporation
Central R i~iix
Residence
411 Dalva
Port St Lucie Fla. 2
Unpaid Balance
Kind d Tax Tax Period Ended tlste of Assesstrtertt Identifying Number of Assessment
(U (b) (c) (d)
~i 1 06- - E 02-18-80 -21 1 1.2
94 3D 7 33 98736 SS ?
941 09-30-?8 11-?A-79 1322.62
941 12-31-78 ii-20-79 1993.89
i 941 06-30-79 ii-20-.79 " 756.66
94i u9- -?9 12-2ii-~y 2.,.,.28
f
ti
a3
Place of Fling
Clerk of the Circuit Court Total i 59a+• 72
St. Lucie County Courthouse .
Fort Piercer Fla. 33450
This notice was prepared and signed at Fort Pierce. Fla. 33450 , on this,
the~_ day of tiovember ,19 _~0
Signature T'ltle
~ C. h. ran. Jr. Revenue Officer
Motet C•rtHiu • or alHc•r autborlr•d Dy law o fak• acknowl•dpnr•nts b net •p•rrtla) to dN vNidNy o/ Nonce o/
F•darsl Tu LI•n O.C.Y. ?blf~ 1~b4t, C.B. 12b.) ~
Part 1, - To be kept by recordirp offbs Pdib'E Form 668 (Rev. a78)
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