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Form 668 ~ Departmant ot the Treasury - internal Revpnue Serv~co
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~Rev.SctptemGar.9~8, Notice of ~~ederal Tax Lien -Under. Internal. Revenue Laws
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DistriCt i Seri81 Number ~ Fo~ Opbanal Ute Dy laecorUmg O!hco _
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JacksonviLle, FL ~ ~~~ i~~ ~1AR 30 P!i Ir 27
As provided by sections 6321, 6322, a~d 6323 of the Internal Revenue Code, ~ F~~f ~ tN~ F` Cu~~~f;;
SLIUCI~ C~.,HT Y.FL..
notice is given that taxes t~ncluding ir.terest and penatties) have been assessed ~ ItOG~R PCITR:,~;
against the following-named taxpayer. Demand for payment af this liability has ~ ~~-~~'~ ~~~~~~~ ~~~1^' t~~
been made, b~*, it remains unpaid. Therefore, there is a lier, ir. favor of the United ~-; ;•" •-.: ~
Siates on atl property and ~ights to property betonging to this taxpayer for the I
amount of these taxes, and additional penalties, interest, and costs that may ~
accrue. , . ~
Name of Taxpayer ,
(.1~11:`m R Tcrlrinr
Deborah R Tedder
Residence p0 Box 115
Ft Pierce, FL 33450
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Unpaid Balance
Kind of Tax Tax Period Ended Date of Assessment Identifying Number of Assessment
(al i (G1 . ~cl (dl (e)
6672
7812
12-15-80
261-30-1203N(Husband~ 2,100.03
26~-88-3384r(Wife)
Ptace of Filing
Clerk, Circuit Court
St Lucie County
Ft Pierce, FL 33450
This notice was prepared and signed at ___Ft, Pierce,_ Florida
the dayof March ,1g S1 __
Total I = 2,100.03
, on this.
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Sig --- ~ ------- ----- -- ---~ Title
i
~Z y'' _Salyer ' Revenue Officer
(Npt c:erid~cate ol o!l,~o~ a onred b /aw fo 1ah a kn wl U m nr ~ nof ! f fh IWY f N t ot
- y .s c O e fl U s s ossent~a o p va . y o o~GA
j F a/ Tar L~en G.C.M. 264i~q, SQi, C.6. t75.) f
~ Pa~t 1- To be kept by recordin~ offlC~~~~ ~~~Form 668 (Rev. 9~78)
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