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Fonn 66~ U. S. TREASURY DEPARTMENT • wTERN~I REVENUE SERViCE
~REV. riov. i9ai~ NOTiCE OF FEDERAL TAX l1EN UNDER INTERNAL REVENUE LAlN3'~~l',?r,,y '
DISTRICT SERIAL NUMBER
JACKSaNYILLE FLORIDA
Pursuant to the provisions of Sections b321, 6322, and 6323 of the Internal Revenue Code of 1954,
notice is he~eby given that there have been assessed under the Internal Revenue laws of the United States
against the following-named taxpayer, taxes {including int~rest and p~nalties) 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 ~ro~perty and rights to property belonging to said taxpayer, to wit:
NAME OF TAXPAYE&
AIIdx'BY W~113.a0a
REStDENCE OR PiAC~ OF BUSINE55
4 North 22ad 3treet Fort Pierce Florida
TYPE OE TAX AND PERlOD ASSESSMENT DATE REPERENCE NO. ~OUNT OF
(a) (bI (C~ ASSESS~nENT
(d)
1040 Income 1967. 3--26-65 6$ D 9316 $ 588.03
FILED ANO RECORD D
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;.:t'r~ = `V:;;'- • ROGER PGiTRAS. CLE K ~
~ . ST. LUCIE COUNTY
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FLACE OF FIUPJG
~ Cl.srk, Circuit Cour~ ~ 5$8.03
St ~ LuC~@ COUIIt~ TOTAL ~
~'Ol"'t P~el`Cd ~ Z''102'3.f~L
WITNESS my hand at loleet Pa].m Beach1 Florida , on this,
the 24th day of! SepteebeT__ , 19 ~5 -
DISTRICT DIRECTOR OF INiERWII REVENUE BY n? 71T1E
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F. S. Tboraa C. ra~~ts t~ro Sn
~NO7E: C.rtificat~ of offw~ aurhorizscl by law to toks acknowledyrr~~ta is nar ossent~ol to the valediry of Notice of Fadern! iax L;~n G.C.11A. 26419, C&
ivso-si, ~zs.) pART 1- To b~ ntain~d by ncording o#fice ~~1 <
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