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~m ~e U. S. TREASURY DEPARTMENT - INTEfNAI REVENUf SEQYICE r"'~ ~
IREV. NOV. 19611 NATICE OF FEDERAL TAX LIEN UNDER INTERNAL REVENUE LAWS
DISTRICT SERIAL NUMBER
TA S~N{/TI.LE`FTnRTDA '
Pursuant to ~he provisions of Sections 63~1, 6322, and 6323 of the Internai Revenue Code of 1954, i
notice is hereby given that there have been assessed under the Internal Revenue laws of the United States
against the following-named fiaxpayer, taxes (including interest and penaltiesf which after demand for ~
payment thereof remain unpaid, and that by virtve of the above-mentioned statutes the amount af said
taxes, t~gether with penalties, interest, and costs that may accrue in addition thereto, is a lien in favor
i af the United States upon all property and rights to property belonging to said taxpayer, to wit:
NAME OF TAXPAYER
~~~T r,icinner ~
RESlDENCE OR PLACE dF BUSINESS
TY?E OF TAX AlVD PEkIOD ASSE55MEIYT DATE REFERENCE NO. ~OUNT OF
(01 (bl ASSESShAENT
(d~
Id+o Income 1960 11-8-63 D-i2698/63 ; 1,0'j2.2$
HartYord, Conn.
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PLACE OF FlLING
'~6I'~C' ~.P~itit. (~iOUPt
St• L11C~.@ CG1113ty T07AL S Zt~I2~~8
Fort Pierce' Florida
WI7NESS my hand at WBBt Palm Beach~ Florida , on this,
the 4~ day of October . ~q~
DiStRICT DiRECTOR Of IIYTERNAL REVENIlE BY ~ TITIE
F. S. SC~MI'DT oo~a C: t~ravee (~t'oup Supervi$or
~NOiE: Csrtificot~ of officsr outho~izsd by low to take ocknowledgmenti is not •ssential To the valid~ty of Notice Gen G.C.J~ C.&
i9so-st, t25.) PART 1- To b+r rHain~d br nton~ing offic~ 80Q~~ 1 '
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