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Form 668 Department of the Treasury -Internal Revenue Service
(Rev. September 1978) Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number Fo. oprrorw us• nr Record~op on-c.
Jacksonville +~a~
As provided by sections 6321. 6322. and 6:123 of the Internal Revenue Code. ~ ~~ ~a ~ ~ Z~
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, end costs that may pifeRit VERIFIEp
accrue. ~~~~~
Name of Taxpayer ~•~a3
Donald Shindler
Residence
Kind of Tax
a~
10096 Pen
1550 Yestm oreland Blvd.
Port St. Lucie, Florida 33452
Tax Period Ended
rb)
12-3l-79
Dais of Asse:srnent
fc)
10-06-80
ldentift-irtg Number
ld)
188-30-1178N
Unpaid Balance
of Asseasnler~t
(•)
Place of Filing Clerk ofthe Circuit Court
St. Lucie County Courthouse
Fort Pierce, Florida 33fF50
This notice was prepared and signed at
Fort Pierce, Florida
3,992 • ~+
Total ~ ; 3 r 992 • ~'
on this,
the 2rxi day of December ,19 80 :
Sign Title
Revenue Officer
for mK
~.
a c•rrrrur• W sr .urhorrz•a by aw ro r.k• acknowl•dpm•nu a nor •saMrrat fo rA• ruarY a1 Notrc• oI
rai L:.rr o. e+ro. rasar. c.e. r2a.) ~ ~
Pert 1 - To be kept by recording ~~ P~ W-J Form 668 (Rev. 8.78)
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