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fotm 568 U. S. TREASURY DEPARTMENT . INTERNAI REVENUE SERVICf For OP~7ornl Uis 6y Recording OF/Ic~
(REV. 4-65) I NOTICE OF ~FDERAL TRX UEN UNDER INTERNAL REVENUE LAWS - -
D:STRICT SERIAL NUMBER FI L D_AN D R E C 0 D~ D
Jacksonv+ llei F7.orid~ ~ _ I ti' 8 0 0 K
Pursuant to the provisions of Sections l~321, 6322, ond 6323 of the Insemal Revenue Code, '`~~L~~~
nr.tice is hereby given tnot there hava been assessed under the Intemol Revenue laws of the p~j
Un;red 5lates againsf the following•named taxpayer, taxes (ind~oing interest and pena~ties) which '66 JAN Z 5 rPl
ofter demand for poj+men~ therecf remoin unpaid, and that by virtue of the above-mentioned
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s!atutes the amount of said taxes, tegether witn penalties, interest, and costs that may accrue
in adr!itian thereto, is a lien in favor of the United States upon all proaerty and rights to property R 0 G E ii f~J I~~ R A S, C LE R K~
' belonging to said taxpayer. S7. LUCIE COUNTY.
NAME OF TAXPAYER F LO R i D A
R,oland H. Vaillan~~ Roland H. Vaillant Builder -
RESIDENCE OR PIACE OF BUSIPlESS
Jenkins Rd.~ ftt. Box 558n, Ft. Pierce' Florida
CtASS OF TAX UNPAID BALANCE
(Tax Return Form No.) PERIOD ENDED ASSE55MENT DkTE IDENTIFYING NUMBER OF ASSESSh1Et~IT
(a) (bl (d fdl (e)
9l~1 65-03 1-12-66 59-094~958 1,423•39
941 65-06 1~12-66 ~9-09u695$ 1,~49.98
9t~1 65-09 1-12-66 59-09469~8 392.66 .
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: PLACE OF HLING (i 9T ~ C Y'C Ol1I'
' St. Zucis county, TOTAL s 2,966.03
. Ft. Piarce~ Florida
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i WITNESS my hand at- ~ West Palm Besch, Florids , on this,
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~ the-19th dayof- Januarv , ~q6b
DISTRICT DIRECTOR OF lNTERNAL REVBJUE BY gnafure) 17LE
F. S. Schmidt roup S~Zperv~isor _
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(NOTE: Certificate of offlcer authorized b law to take acknowl ~ , ~
26419, C.B. 195Q~Sk 1 ~ Y ed9man s s essent~o o ihe wlidity of Notice of F~derol Taz liep G.C.M. ~
BOOK ~-To be retained by recording affice ~
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