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Form 6GA U. S TREASURY DEPARTMENT • INTEkNAL REVENVE SERVICE
~REV. NOV. 1961? NOTICE OF FEDERAL TAX LIEN UNDER ItdTERNAI REVENUE LAWS
DISTRICT SERIAI NUM$ER
Richmon~
Pursuant to the provisions of Sections 6321, 6322, and 6323 of the Internal Revenue Code of 195~,
notice is hereby given that there have been assessed under the Internal Revenue laws af the United States
against the following-named taxpayer, taxes lincluding interest and penaltiesl which after demand for
payment thereof remain ur~paid, and that by virtue of the above-mentioned statutes the amount of said ~
taxes, together with peralties, interest, and costs tl~at may accrue in addition thereto, is a lien in favor
of the United States upon ail property and rights to property belonging to said taxpayer, to wit:
NAME OF TAXPAYER
J ohn V. J, & Mar~;aret M. Chishol.m
RESIDENCE OR PiACE OF BUSINE55 .
2726 Wi11oK Dr. Vienna Va and 20 Ce V V
TYPE OF TAX AND PERIOD ASSESSMENT DATE REFERENCE NO. ~~UNT OF
(cl (b) (c) ASSESSAAENT
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l01~0 12-3~.-6l~ 5-1~-65 087-07-1116 1,282.22
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~ NU'cE °F Fiu~vc TOt The Clerk af the Court
Saint Lucie County TOTAI t 1,282.22
Fort PierCe~ Florida
WlTNESS my hand at ~'~~S C~urch~ Va. , on this,
12th day of_ _October~_
_ 19 65
DISTRICT DIRECTOR OF INTERNAL 2EVENUE BY r~) TlTLE
J ames P. &~yle Revenue Off icer
~NOTE: Ce?tificat~ of oificsr nuthorized by law to toke acknowledym~nts is essent~al to th• vali ~ry of Notice of Fsclerol Tox Lien G.C.M. 2G419, C.B.
i 9so-s i,~ 2s.~ PART 1- Yo b~ r~tain~d by nwrdin~ office p~ ~
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