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Form 668 - DEPAltTMfNT O~ THE TREASVRY-INTERNni RE~'ENUE SE~'vyCE _ For Op+ional Use by Recad~ng Ofi;ce ~
(RFV. ~a>>~ NOTIC~ ~f FEDERAI TAX UEN UNDER INTERNAI REYENUE LAWS 3{)~?•~~,~ ;
- DISTRICT SERIAL NUhiBER !
. _ - .~ACKSONVILLE - F ~EO ~M~~ R~co~bED
Pursuont to the rovisions of Sections 6321 d322 and 632; of the Internal Reve- _ ~~~E COUMTY F~A. *
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- nue Code, noiice is hereby given lhat there have been :,s;es~ ad und~r the Intemal CIf,RK CI'sCUfT COURT 4
-Revenue ~nws of the tlnited Sto~es against the follo~ving-n.~med toxnayer, taxes (indud- RECORD VEhif1ED
ing interesl and penalties) which after demand for payment thereof remain unpaici, and :
ihat by virtue of the above-mentioned stotutes the omount of said foxes, together with ~ S ~Z ~
. penalties, interest, and costs that may accrue in addition thereto, is a lien in iovor of - ~
the United States u on oll ro er and ri hts to ro er belon in to said tax a er.
P P P tY 9 P P tY 9 9 p Y
- NAME OF TAXPAYER ~ 3~9'~?~ ~
LILLIE R. EALY ~ . -
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RESIDENCE {
1014 N. 16th Court ~ -
Ft.-Pieree, F1 33450 . - ,
_ - - ~ UNPAID BALANCE ;
KIND OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
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1040 - 12-31-72 07-09-73 261-56-1314 - 312.01 <
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PLACE OF FILlNG _CLERK, CIRCUIT COUR7 - ~
- , ST. LUCEE COUNTY ToT~~ s_ n~
= FORT PI~F2C~, FLO~iDA ( ~
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` WITNESS my hond at _ West Pslm BeBCh~ FL " , on this,~
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' the 3rd _day of June 19 75 - - ~
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_ J es B. Bruin firo~ rianager
(NO E: ertificote of officer avthorized by law fio lake ackr.ovvledgments i: not essentiol to the volid~ty o1 Notice of Fecierol Tox Lien G.C.M_ ~
_ 2641 , C.B. 1950-51, 125.; U R 240 PACE V~
- ' _ PART 1-To be retained by rec~rding office BOOK
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