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1<' F.
u, S, TREASURY DEPARTMENT. INTERNAl UVENIJE SUVICt
NOTICE OF FEDERAL TA>\ LIEN UNDER INTERNAl ~,~U't"JAWS'
J 5ERIAl NUHBfR
JAck eonv11l e . Fla. - .
Pursuant to the provisions of Sections 6321, 6322, and 6323 of the internal Revenue Code of 1954,
notice is hereby given that there have been assessed under the Internal Revenue laws of the United States
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:
Form 661
(kEV, NOV, UbI)
flJ&TRICT
NAME OF TAXPAYEK
T.H...~~8kins
RESIDENCE OR PLACE OF BUSINESS
~7 Boston ATe~ Ft Pieroe Fla.
AMOUNT OF
ASSESSMENT
(dl
TnE OF TAX AND PERIOD
(01
"SSESSMENT D-"TE
(bl
REfERENCE NO.
(el
1961 I.T.
6-8-62
59-252114170
125.00
PLACE Of FILING
Clerk I Circuit Court
st. Lucie County
Ft. Pieroe, Fla.
125.00
TOTAL I $
I
WITNESS my hond ot
West Palm Bea.ch. FlA.
, on this,
the _~~cloy of
April
1963
, -
.---_.-~.. ._---~-_.- ---
DISTRICT DIRECTOR OF INTERNAL REVENUE
Collection 1-4lI1ager
---T-TITlE
Laurie \i. Tomlinson
i!'~0TE Cer!J~dTe of cfL.:~r OL,thorized by law to L.li...e acknowledgmt:nts is not eHenfiol 10 the validity of Notice of Federul Tox. lH}I~ G.C.t.\. 16~ 19 C.B.
i4'>051,175) ~'
PART 1 - To be retained by recor.:iing office
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