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Forrw 668 U, iREASURY DEPARTMENT - ~NTERNAL REVENUE SEkvrCE
IREV. NOV. 1961~ , NOTICE OF FEDERAL TAX LIEN UNDE3d INTEI~NAL REVENUE LAWS ~`2
~
DISTRICT SERIAL NUMBER•~ *r«a ,
_ ~Jacksonrrille, Florlda -i ~~i~ > s t ~ ~
?~rsuant ta the provisions af Se~tions 6321, 6322, and 6323 of the Internal R~venue Code of 195d,
notice is hereby ~iven that there hdve been assessed uncier the Interna) Revenue Ia~NS of the United States
~ aga~nst the follovving-named taxpayer, taxes (including interest and penaltiesl which after demand far
! payment thereof : emain unpaid, and that by virtue of the above-mer~tior~ed statutes the amount of said
taxes, together with penalties, interest, and costs that may accrue in additinn thereto, is a lien in favor
I of the United States upon al) property and rights to Qroperty belonging to said taxpayer, t~ wit:
NAME OF TAXPAYER ~
Jar~ea Bert Oo1ey~ ~T R t)ol Pai n},~~,
RESIDENCE dR PLACE Of 8U51NE55 -
~ ~4MOUNT OF
7YPE OF TAX AND PERIOQ ASSESSMENT DATE REFrRENCE NO. ASSESShAEIVT
la) Ibl t~~ (dl
~
~
9~1 - bl3a/bt~ 3-26..55 ~ 59-10?_~795 l~01.93
9l~1 - 9/3c~/6!~ 3-.2h-6~ 59~142879K 299.11
9l?1 - 12/31/61~ 3-26~.65 59-102$795 3C~.03
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~ ~~L ,G D RECO OfD
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. ~ LUCfE COUNT ,
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F~aC: OF FItING ~~.grk, Circuit Court
St. Luaie Caunty~
Ft. Pierca, ~lorida rora~ ~ ~ l~~Z~Q7
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WITNESS my hand at W.gt. pa m Bga~h~ , on this
,
the~5~day of ,j,~~ , 19~_
DISTRICT DIREGTOR CF INTERNAI REVENUE ' tlot ) TITIE
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fN~"[ Ce~i~~-„•e of ~R~cer c~thor.zed by law to toke ackn wtedgment; not essenr~n~ to the vqtid:ty o4 (Voiice of Fe rt~ T G.C.M. 2~ C~
i950~5t. 125.~ ~ ~
PART 1- To be retained by reco~ding office 500K l~~ r~ s
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