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Fpna 66~ U. TREASURY DEPARiMENT - tNiERNAt REYENUE SERVICE ~„d+
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IREV. NOV. 1961) NOTICE OF FEDER~?I TAX LIEN UNDER INTERNAL R~VENUE LAW5
D!STRICT SERIAL NUMBER
-'~t~t-'xa s
A(~t.SONVILL~ FIARIDA • ~ , . ~ . ~
Pursuant to the provisions of Sections 6321, 6s22, and 6323 of the Internai Revenue Code of 1954,
notice is hereby given that there have been assessed under the Internal Revenue laws of the United States
against the follo~ing-named taxpayer, taxes tincluding interest a~d penalties! which after demand for
payment thereof remain unpaid, and thcst by virt~e of the above-mentioned statutes the amount of said
taxes, together with penalties, interest, and costs thc~t may accrue in addifiion thereto, is a(ien in favor
of the United States upon all property and rights to property belonging to said taxpayer, to wit:
NAME OF TAXPAYER
H A & Frances Sloaa
Rf51DENCE OR PIACE OF BUSINE55
st Otiice Box 8 2 Fort Pierce Florida
TYPE OF TAX AND PERIOD ASSESSAhEt3T DATE REFERENCE NO. AMdUtVT OF
(a~ (b) I ASSESSMEN7
(d~
1040 Incnme 12-31-63 01-13--65 25b 52 8701 Y~91.14
F~~-~D AND P,EC RDEp
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~ hLRCE OF FILING ~ ~
s('1@l"~i~ Ci~'CLI~t. CiG1lT~. 791~20
~t. Luci• CountT TOTAL ~
Fort Fierce~ Florida
WITNESS my hand at yeat PaL Hea~th. FlQrld~ , on this,
the day of AtiBy?at 19 65
DlSTRICT DIRECTOR OF INTERNAL REYEtrUE B re) . TITLE
F. S. SCH~IIDT ~ Triaaas C. t3ra~~s Girou S r~ a
(NOTE: Cenificate of offKar aut~orized by law to tnks atknowledgmsnts is not essential to ih~ va{idi!y of Notice of~ n G.G.M. ~ C.B.
i 4so~51, t 25.) PAR7 1- To be retained by recording office ~
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