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F~ 668 ~eDa~ment of the Treasury - fnternal Revenue Service ~~
~R~,.~t~,~„9,8, Notice of Federal Tax Lien Under Internal Revenue t~aws
oistrict seria~ Numt~er 514943 ~ Fa o~,~.- ~s. ~, R.~~ oHk.
. 19~ JAN 2? ~I 8 45
As provided by sections 6321, 6322. and 6323 of the Intemal Revenue Code. ST.tUC~CC NT1f.FLA.
notice (S given that taxes (including interest and pe~aities) have been asses.Sed ROtiER POITRAS
against the following-named taxpaye~. Demand for payment of this liability has ~E~ CIRCUIT C4UR /l
(,
been made. but it remains unpaid. Therefore. there is a lien in favor of the United ~~F~;~~' ~.~ ~:~~"'
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 514943
ac:crue.
Name of Taxpayer
AL88QT & ?III.DRBD 3 BBNJAMIN
Residence
~ 1702 N 23rd S~tBET FORT PIffitCE~ FL 33450
K(nd of Tax Tax PeNod Ended Oste of Assessment IdentNyln~ Number
tU [b) fc) (d)
1040 12-31-78 08-20-79 261-40-5391
1040A 12-31-79 06-09-80 " " "
~
Unpaid Bslance
a As~M
cu
1,863.38 .
1,085.89 ~_
Place of Filing
CI.BRK OF T~ CIRCUIT CO~tT - T~~ _
3T L1xIB COUNIY COI~THOUSE 2,949.27
FAtT PiSRCS, FL 33450
This notice was prepared and signed at F~T pi~~# ~ , on this,
the 22 dayof JANl1ARY ,19 81
~ Signature Title
hW RBVSNUB OFFICBR
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(Nar. c.nmc.rs a onk.r a~rnwu.d ny aw ro fako .er~nowrs~:~ma~rs a~ .ss«~~ ro ~ns va~any o1 NoHe~ a
FWNa/ Tax UM O.C.M.2b~to fp54f.~.a_ ~zs., ~~347 PA~1357
~ Part 1- To be kopt b~l rec~dirq ~ Form 668 {Rev. 9~78)
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