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F~ 668
(Rev. SeRtember 1978)
~ISifICt
Jacksonville, FL
Serial Number
Fq~tiOn~l Use Dy R~eo~diny Offko
515644 ~ -3 ~ ~ os
As provided by sections 6321. 6322, and 6323 of the Intemal 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 ail property and rights to property belonging to this taxpayer for the
amount of these taxes, and additional penalties. interest, and c~sts that may
~,e.
Name of Taxpayer
Ec~itt ~ Annie Mae Brown
Residence 1708 N 29th St
Ft Pierce, FL 33450
Klnd ot Tax Tax Period Ended Date of Assessmsnt
tu te~ to~
1040-30 7912 QS-26-80
Place of Filing Clerk~ Circuit Court
St Lucie County
Ft Pierce, FL 33450
This notice was prepared and signed at Melbourne ~ FL
. on this,
the~~ day o 9 ~1
Signa re Title
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Matr. C~rtHluts of oHlcor ~ufhoiir~d 6y t~w to taks acknowl«fpm~nts b nof fo tM rdJdiry o1 Nofk~ W
F~Wrd T~~ LNn (3-C.M. 26~fY, 1034f. C.B. 1?6J ~ IIR ~ -
p Part 1- To be kept b~- ~ecotdin~ otfiod; ~~~~ Form 688 (Rev. a78)
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OepaAment of the T~easury - Internal Ravenue Service
Notice of Federal Tax Lien Under internai Revenue Laws
f~~.EG eH[ ~ze~ ~o
S1.LUC1E CottNtY.Fia.
ROGER POITR.tS
CLERK CIRCU~i CC '~
r--,;,r. ~~f ~ s ~_ ~ _ - -
51554~
Identlfrln~ Number
!d)
258-44-0905
UnpaW Bela~ce
of Ass~sntent
[o)
2~976.72
Total = 2,976.72
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