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Form 668 Department OI the Treasury -Internal Revenue Service -
(Rev. September 1978) Notice of Federal Tax lien Under Internal Revenue Laws
District Serial Number ~~ For OpNrrOnal Use by Iteeadin0 Oltics
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_ JACKSONVILLE ;
As provided by sections 6321. 6322. and 6323 of the Internal Revenue Code. S~O~EA A.
notice is given that taxes (including interest and penalties) have been assessed affRK c~TItA
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 UnitedR ~~ YEitIflEe _
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
accrue.
Name of Taxpayer
MALACHIA REAVES
Residence
1126 AVE E FORT PIERCE FL
Unpaid Balance
Kind of Tax Tax Period Ender! t)ate of As>tsurnertt Identifying Number of Assiessntettt
(a) fb) (W fd) lam)
1040A 12-31-77 oz-04-80 251-58-0238 745.79
Place of Filing
CLERK OF THE CIRCUIT COURT Total i 745.79
ST LUCIE COUNTY COURTHOUSE
FORT PIERCEr ~ 33450
This notice was prepared and signed at FORT PIERCE. FLA . on this,
the 1st day of DECEIVER ,t g 80
Signature Title
• _.L- . _ ~l ~/ h REVENi1F nF'F'i[:F.R
(Nol C ifiufs of officer aufhoriz law fo ake acknowladOments Ism not ausentia/ fo fM wlidflr OI Notice of
Fades x Lien O.C.M. 26110, 1054 .B. 125.)
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Para 1 - To be kept by recording office; Form 668 (Rev. 9.78)
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