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Form 668 ~epartmaint of the Treasury - Internal Revenue Service
(Rev. September/978) Notice of Federal Tax Lien Under Internal Revenue Laws
District I Serial Number
Jacksonville, Florida
by Racadiny Oflice
i4S provided by sections 6321. 6322. and 8323 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 United
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
Richard P. k I}iane C. Johnson
8006 James Road
Fort Pierce, Florida 33450
Kind of Tax
t.~
1040
Tax Period Ended
fD)
i 2-31-?9
Date ~ Assessment
(c)
09-29-80
S~ ~
a
Yfttt/tE0
509391
Identifying Number
[d)
265-66-9025
Unpsid Balance
of Assessment
[e7
2,474.82
Place of Filing Clerk of the Circuit Court
St. Lucie County Courthouse
Fort Pierce, Florida 33450
Total ~ = 2, 474.82
This notice was prepared and signed at
the_2r~ day of December ,19 ~
on this,
Title /
for mx Revenue Officer
~ CartNiule officer .uthori:vd by law to ak. .cknowl~dpm~nts b Qot tld to tM vdldNy of NWic~ of
.- r.,~ un _ .iu. ze.lo. ,sasal. c.e. 12a.) ~~~ P~
Part 1 - To be kept by recording otfk~e • Form 668 (Rev. ale)
Fort Pierce, Florida
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