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Form 668
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u, S, TREASURY DEPARTMENT, IWERN.l.l HVWUE SERVIC~ ') T. L UC l[ (';UN T Y. r L 1.."
FEDERAL TAX LIEN UNDER INTERNAL ~..---~-- .
114798
60 ~^LE 638
(HV. NOV, 1961)
NOTICE OF
~IST~.I,C,',_T_, _.>' lSE~'AL NUM_.8'_:...__''
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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 penaltiesl 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 favoi
of the United States upon all property and rights to property belonging to said taxpayer, to wit:
Ni>.ME OF TAXPAYER
J oA. & K. Forbes
RESIDENCE OR PLACE OF 8USINEs,s
&:.>2 So 4th St., Fto Pierce, Flao
TYPE OF TAX AND peRIOD
(01
^~Es.sMENT DATE'
(b)
AMOUNT OF
ASSESSMENT
Idl
REFERENCE NO,
lc)
-
1961 Income Tax
5-18-62
59-25ro89952
46000S
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PLACE OF FILING
1
Clerk, Circuit Court
sto Lucie County
Fto Pierce, Fla 0
460 0 os
$
TOTAL
WITNESS my hand at
"lest Palm Beac.h, Florida
, on this,
the 9th
day of April
,19~
DISTRICT DIRECTOR OF INTERNAL REVENUE
it TLE
Laurie W. T Collection Hana er
(NOTE Certikole of off,cer authOrized by law to tuke acknowledgments i. not e".ntlol 10 the validIty of Notice of Federal Tax Lien G,C.M, 26<419, C.8,
1950,51,125,1
PART 1 - To be retained by recording office
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