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U. S, TIIfASURY DfPARTMENT. INTf~NAl lfV~VE?~l~-, ~ ' ~ ,
FEDERAL TAX LIEN UNDER INTBt~J~fNi~u~lAWSA.
fo",,668
I~':'/, NOV. 19611
NOTICE OF
.ISUlCT , I SHIAl NUMBER
Jaolceonvil1e I na. .
Pursuant to the provisions of Sections 6321, 6322, and 6323 of the Interna~ Revenue Code of 1954,
notice is hereby given that there have been assessed under the Internal Revenlle laws of the United StateG
against the following-named taxpayer, taxes (including interest and penalties) which after demand for
payment thereof remain unpaid, and that by virtue of the above-mentioned statutes the amount of said
taxes, together with penalties, interest, and costs that may accrue in addition thereto, is a lien in favor
of the United States upon all property and rights to property belonging to said taxpayer, to wit:
NAME Of TAXPAYER
_____. ___ RQ~.rt S... 8&l.l.tte
1lE-5IDENCE OR PLACE Of 8USINESS
Ft Pierce Fla.
TYPE Of TAX AND PERIOD
1<))
AMOUNT Of
ASSESSI.'.ENT
Id)
ASSESSMENT DATE
(bl
REfEUNCE NO,
(el
1961 I.T.
5-18-62
293.00
59-341235952
..
PLACE Of filiNG
Clerk, Circuit Court
St. Lucie County,
Ft. Piftl'oe, Fla.
TOTAL $
293.00
WITNESS my hand at
Woot Palm Beaoh. P'lau
, on this,
the
April
, 1 9 ...6.:L
Stb day of
DISTRICT DIRE:TOR Of INTEPW\l ~EVENUE
Collection Manager
TITlE
.L.aur1& W. Tomliaaon
INOiE: Cerflf.cote or officer authoflzeJ by law to toke ock.no'.vledgments is not e5.S~nfiol to ~r:e yalidity ".f Notice of Fede~ol To:.: LIen G.C.M. 26~19 C B
1950-51, 125) , "
PART 1 - To be retained by recording office
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