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~ L'e.'arlmant ol the T~c.i,cry- Intcrnat Rev~:nuc• Sen•ice
Form 668
F,~~ 5~,~=~; ,o~~,,,a.' Notice of Federai i`ax Lien Under inte~nai Rev~nue Laws
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D~str~ct Serial Number r_:, oa,~o~a~ use ~v Re~ .j~":•, ~~~,~e _
~ ~~~ ~~ ' 198) HAR 30 P~t 12 27
Jacksonville '
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~ FiL![ thC F'. ~!u?Ui f~
As Grovided by sections 6321, 6322, and 6323 ot the Intemai Revenue Co~ie. St.~UcrE. co~.~i~r.it F.
nctice is given that taxes (ir,::;uding ~nterest and penalties) have b~en assessed ~ ROGEA f C~i?~.S
Cl CR~i CI3:Cl:? C~ ~F' ,
against the foliovnr.g-n~ rned taxpayer. Dr~mand for payment of this liabil;ty has M
been made, but it remains un ,~id. Therefore. there is a fien in ta~~or of the United ' '~'~~ '• `` ~
States on atl property and nyhts to property be~onging to this :axGayer to~ the ; .
amount of these 2axes, and ad~iiti~nal panalties, interest, and costs that may i
5~2.1~6
accrue.
i
Name of Taxpayer ~
Dennis E. & Patricia A. Hardr:an
Residence
502 South 22nd St.
Fort Pierce, Fla. 33450 __
Kind of Tax 1 Tax Period Ended ' Date of Assessment
(a) ( !bl i [cl
1040 ; 12-31-79 ! oj-19-RO
Identifying Number
[d1
430-~E-9135
Unpaid Balance
of Assessment
te)
2315.99
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~ Ptace of Filing
Clerk of the Circuit Cotnrt Total ~ t 2315.99
St. Lucie County Coisthouse ~
Fort Pierce, Fla. 33450
This nviice ~~as prepared and sig^ed at
Fort Pierce~ Fla, _~4~0 __ __
the. 27th dayof _i;arch__ .19 ~1
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Signatu: ~~ -~---- -----
'~ '' s-~~/r
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C
~l ,
Jr.
i'-orar, ___ ; Revenue Officer
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(Notp• Cert~~.carv o- ctL%cr ~~thw:r~ ~ G; :a+v tn fa~e aCkn~wJCCJmgnfS ~s nor ussontial fo fho vakdity of Hotice of
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fedural Ta• L~on G.CJd ?5~t ~i. 1950 1, C.B. t25 ) ~*
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~~:`.~' ~'~ •
Part 1- To )
Form 668 (Rev. ~7
be kept by recording oftice