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Form 668 DePa~tment ot the Treasury - Intemsl Revenue Senice
(Rev SeptemDer1978) Notice of Federal Tax Lien Under internal Revenue Laws
District Serial Number Fp OptioM/ Usa by Recwding Office
Jacksonville~ FL S1~~o i98i fEB 18 PM 2~ ~$
As provided by sections 6321. 6322. and 6323 of the intemai Revenue Code. itLEO ENC F~E~i~i L-
notice is given that taxes (including interest and penalties) have been assessed gT~~p~ER POlTR:FS~~
against the following-named taxpayer. Demand for payment of this liability has ELERK CiRCUi' COURT Q
been made. but it ~emains unpaid. Therefore. there is a lien in favor of the United R,-;n~c ~; ~~ ;-- ~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
ac,crue.
Name of Taxpayer J~l~a~~
Fort Pierce Distributors Inc a corporation
Residenoe 822 Orange Ave
Ft Pierce, FL 33450
Kind of Tax
(a)
941-01
941-01
Tax Perlod Ended Date of Assessment
(b) (e)
7912
8003
04-14-80
05-19-80
i
t
Place of Filing Clerk, Cirouit Court
St Lucie County
Ft Pierce~ FL 33450
This notice was prepared and signed at
the l~th dayof February ~~9 81
Melbourne, Florida
Total :
Unpald Bslance
a Assessment
[~)
923.53
638.12
1,561.65
, on this.
Signature Title .
(HW) ~Revenue Officer
- ,
(Notr. Cert/l ts o1 dfic~r ufhorizad Dy Nw to take ~cknowlWpmarfa is c~ tJ~l to fM v~IWiqr of Noflc~ o!
F~derd T~i u.~ o.c.~. 2e. ~. »sa~. c.s. ~za.~ BOt~J~ PACE~.V•34
Idse!lfyin~ Number
[d)
59-1706757
~~
s Part 1- To be kept by recordi~ of~ ~' Fam 668 (Rev. 9~78)
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