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form 668 ~ DfPAQTMENT OF TNE TREASURY-INTERNAI REVENUE SEtMCE , Fot Opliona! Use By Recording O~ce -
~REV. io-~i~ NOTICE QF FEDERAL TAX tIEN UNDER INTERNAI REVENUE IAWS
. DISTRICT SERIAL NUMBER . .
~ JACKSONVILLE . ~
Pursuant to Ihe provisions of Sections 6321, 6322, and 6323 of the Infernal Reve- ~ 3{~~~36 -
~ nue Code, notice is hereby given thaF there have b~en assessed under the internal ~
Revenue laws of the United States against the following-ndmed taxpayer, toxes (indud- - ~ .
i~g interest and penaltiesJ which after demand for ppymenl thereof remain unpaid. and -
that by virtue of the above-mentioned statutes the amount of said taxes, together with
penolties, interest, and costs ~ho1 may accrue in addition thereto, is a lien in favor of :
the United States upon oll properry and rights to property betonging to said taxpayer. -
- NAAAE OF TAXPAYER -
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William F. Gerold " . . . `
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RESIDENCE - - , ~ '
1701 Coronado Ave.. ~ - ~ ~
- Ft. Pierce, FL 33450 `
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UNPAID BALRNCE
~ KIND OF TAX TAX PERIOD ENDED DAiE OF ASSESSMENT IDENTIFYING NUMBER Of ASSESSMENT •
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1040 7112 04-07-7~ 278-12-9758t1 4,447.53 =
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~ PLACE OF FiLING CLERK~ CIRCUIT COURT - -
_ _ ~ ST. LUCIE COUNTY 7oTA~ 3 4,447.53 `
; : . FORT PIERCE, FLORIDA - _ ~
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WITNESS my hand at Wes t Pa Im Beach ~ FL ~ ; on this,
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' the _2Qtlt_day of~iay , 19 75 ~ -
SIGNATURE _ T1TLE ~
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G.A. rne ~ Actin Grou t•iana er
(NOTf: Certificote of ofiice~ ou!t?orized by law to toke acknowledgments is not essentinl to ihe validity of Notice of Federa! Tox lien G.C.lv1~
' 26419, C.3. 1950-51, 125.) t~j _
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~ _ - . PART 1-To be retained by recording offic8
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