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Form 668 U. 5. 7REASURY DEPARTME~JT - tNTERNAI REVENUE SERViCE
~REV. NOV. 1961) N~TiCE OF FE~ERAL TAX LIEN UNDER INTERNAL REVENUE LAVHS
DIbTRICT SERIAL NUMBER
Jac~sonville~ :la. _ ~ F
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Pursuant to the provisions of Sections 632i, 5322, and 6323 of the Interna? Revenue Code of 1954,
r~otice is hereby given thafi there have been assessec! under the lnternal Revenue laws of the United States
against the folfowing-named taxpayer, taxes lincluding ~nterest and penalties) which after demand for
payment thereof rernain unpaid, and that by virtue of the above-mentioned statutes the amour,t 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 property and rights to property belonging to said taxpayer, to wit:
NAM,E OF TAXPAYER
C}eor„e JosepninE Fut~h
Rc51DENCE OR PLACE O'r BU51NE55 ~ ~
26~~7 ~d. ~in_::_:.,n :tiver Jr., Pt. Fierc~~ ~la.
AMOUtJT OF
71'PE OF TAX AND PEi210D i ASSESSMENT DATE j REFERENCE NO. j ASS~SSMEN?
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WITNESS my hand at__ :;e5t = a1rL is
.--e~ 1 nrj~-~_ on this,
the a____duy of?'oY~,m:,:~r , 19~j_
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L'ISTRICT UIRtC70R OF ;~VTERNAL REVENU[ i 6Y (+ynat~re) ^ ~ TITLE
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{NOTE: Certifcute of off~cer auihorized 'cy law to t~'~e a:kno.viedy~nenrs Is nc< essen':a! to if,z v.~~id:ty of Nor~ce of Federai Tox Lizn G.C.M. 2h419, C.B.
1950-S1, 125.) I1 R Q7
PART 1- Ta be retair,ed by recording offite BOOK V-1- ~