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hrm 668 U. 5. TREASUftY DEpARTMENT - INTERNAI REVENUE SERVICE 4( ~y~~
(REV. NOV. 1961) NOTICE OF FEDERAL TAX LIEN UNDER INTERNAL RE1/ENUE LAWS ~
DISTRICT SERIAL NUMBER
Jackaomille~ Florida _
Pursuant tn the provisions of Sections 6321, 6322, and 6323 of the fnternal Revenue Code of 1954,
notice is hereby given that there have been assessed under the Internal Revenue laws of the United States
against the fol{owing-named taxpayer, taxes lincluding 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 favor
of the United Siates upon all property and rights to property belonging to said taxpayer, to wit:
W?ME Of TAXPAYER
Iisx~r~ A . Sti~nner
RESiDENCE OR PLACE OF BUSINE55
~8 p0
TYPE OF TAX AMQ PERIOb ASSE55MEN7 DATE REFERENCE NO. ~OUNT OF
(~1 (bl (~1 As5E55MENT
(d)
9l~1 ~ 6/30/6!~ 6-?.~-h5 59-~'~9505? 273~1~1t
9tt1 - 9/30/6!~ ~ ~-l~-65 59-0895~57 3~.86
9i~1 -12~31/6!~ 6~.1~-55 59-o~g5o57 ll~.l~
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PLACE OF FIIING r,Yerk~ Cix~cuit Court ~
~ St. Luc~.e Countyi Torn~ s
~t• Pi92`C$~ FIOt`1da 318`!.~
WlTNESS my hand at West Palte BesCh~~'~+~.~~-- o;~ this,
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tbe ~Qt,h day of T,~
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DISTRICT DIRECTOR OF IPITERNAL REVENUE BY ro~ Tlil~ ~ ; _ . • '
F.S. 5chmidt #f'~ ~
. Gro~ `~o.~e~~r.~~
(NOTE: Cert~ficnre of oEficnr outhorized by low to toka acknowledgmsnls is not sssentiol to the va!idity of fvotice of Fed~a1~7°~~' ~G.M. R64
t 9so-st, t 2s.) p~lRT 1- To b~ rstain~d br ncord'+ng ofEica 60GK 1.~~.
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