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66r U. S. 7REASURY DEPARTMENT - INTEttNAI REVENUB 56RViCE ~
(REV. NOV. 1961~ NOTICE OF FEDERAL TAX LIEN UNDER INl'ERNAL REV~NUE LAWS
DISTRICT SERIAL NUMdER
JAt~.SONVII~. FLORIDA
Pursuant to the provisions of Sections 63~1, 6322, and 6323 of the Internal Revenue Code of 195~,
notice is hereby given that there have been assessed under the Internai Revenue laws of the United St~tes
against the following-named taxpayer, taxes tincluding interest and penalties) which after demand for
payment thereof remain unpaid, and that by vir#ve of the above-mentioned statutes the amount of said
taxes, together with penalti~s, interest, and costs that may accrue in addition thereta, is a lien in favor
of the United States upon oll property and rights to property belonging to said taxpayer, to wit:
NAMIE OF TAXPAYER
/?ZV'~II $ $t~PICz NOYf&~.ICB MOtCl
RESIDENCE OR P!A(~ OF BUSINESS
601 South Fourth Street Fort Pierce lorida
7YPE OF TAX AND PER10D ASSEfSMENT DATE REPERENCE NO. AMQUNT OF
(n) (b) kl ASSESSAAENT
(d)
g41 withbolding ~3-3~1 0'ri-02-£5 59-0665287 ~ 49.90
941 withhoiding 12-31rb3 07-02--65 59-fl665287 45.01
941 Yit~holdir~g o6-3o-b4 07-02-65 59-~528? 57.~9
941 ~ts,~lding o9-30-64 0'"1-o2-b5 59-c3G66528? 66.36
:i
9~~~: ~~.~~ioldfa,~ ~*31..b4 07-o~2-b5 59-0665287 ~34.14
94~ ~t'l:~~~3. .~ig :':~3=~1.-b5 4?-02-65 59-•0665287 95.75
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5.
~ PLACE OF F1LtNG
'~eI'~[~ ~TCtI~.~. ~`iO1lI't
C
st. Lucie Couaty Tora~ a 5
Fort Pierca~ Florida
o ?t
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-f r- ~-+_c..~7
iIViTNESS my hand at ~~g~~~l-m i7f~Crb~-~~~ . y ~~~i=e
~ C '~.~s ~ Zy
(7 Z
~ tr - N b
the llth day of ~#~4klr t9~_
r7 ~
c~
~C~. ~ rn
DISTRIGT DIRECfOR Of IMERWIL REVENUE BY 1 ' Tli~t~~ hs 0
--i r-- ~ . ~
~ =tm wp
F. S. SCF~IDT ~a . ~ e~ u
R,fpT~, ~1licot~ pf p~l,cK dutfwriz~d by Iuw to toka ocknowl~dqrr~NtM b nof ~s~e/itfol to ths valldity of Notic~d G.G . C.&
1950-51. 1 ZS.j B00~~
~AJtT 1- to ba~ ntain~d by eseording oAle~