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Ferm 668 ~ Le:~artmc:n! ot !he 7re- :;ury - I:iternai F.ovenue Serv~ce
:~e~ 5~~,~~~~.,,~;~:~ ~Voti~e of Federa! Tax Lies~ ~nder ~nte~nai Revenue La~~~s
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Dist!ict ' Ser~al Number i rr n;;r,onaf Uso by Rac _ r.;.n~ Gfhco
JACKSONVILLE ~ ~;c;~169 ~ 1981 NAR 30 PM 12 27
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As provided by sections 63?_ f, 6322, and 6323 of the internal Revenue Code. ' FIL[[~ ihC ~: C~•f~:•: ~'
notice is given that taxes Gnc~u~ing interf~st ar.d penalties? have been assessed ~ S1. LUCIE COUNT Y.1 t:.
; Rf:GER POIiRtS
against ihe fol!owing-named taxpayer. Demand for payment of this fiabiiity has ? CiERK C!?'_i!` ~"~~'''~
been made, but it remains unpa~~'. Tt-ieretore. there is a tien in tavor of the United ;.. ... q.~
States on al! property and rig~~ts to property belonging to this taxpaye~ for the ~ ~ rl
amount of these taxes, a:~d addiiional penalties, interest, and cos!s that may ~
acc: ue. I
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Name of Taxpayer
(:T,7M02~' WASHTN(',T(lN i
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Residence
2511 Ave "H"
Ft. Pierce, FI. 3345~
' I Unpaid Balance
Kind oi Tax ~ax Period Ended ~` Date of Assessment ldentitying Number of Assessment
!a) ! (DI ? [c1 ~ (dJ ~ (e)
104c~A ~ 7912 j o5-19-30 263-a~98u2
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1,537.63
Pface of Filing ~
Clerk of Circuit Court
St. Lucie County Courthouse Total~~ 1~637.63
Ft. Pierce, Fl. 33450
This notice was prepared and s+gned at _.~'~ _pierce, Fl. _, on this.
~ the_24th_ day of iiarch ,19 31 •
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~ Si ure r ~ ' T~tle --- --
~ _7 Revenue Officer _
( ot Cort.l.car~ ol clhco~ authc ~r ~1 by !~h to taAO ackn~wlody~=~on!s is not eszcn:~a! fo fho validity o( Npt~ce cl
f revw~r J3R 1J0~7 fi.C..M11. LG47Y. I'i~?~ 4.tl. ILS I Iy
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~ Part 1- To ~ kept by recordin9 oH~ce f~~~"'~•V Form 668 (Rev. 9-T8)
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