HomeMy WebLinkAbout1752 Forrn 66a U. 5. TREASURY DEPARTMENT • INTE~NAL REVENUE SERVICE
~FFV. NOV 1961? ! NOl'ICE OF FEDERAL TAX LIEN UNDER INTERNAL REVENUE LAWS
D~STRICT I SERIAL NUMBE2
4 "12(15 -
--~AC~s_or_tv~~,~A~~---- - - -
Pursuant to the provisions of Sections 6321, 6322, and 6323 of the Internal Revenue ~ode of 1954,
notice is hereby given that there have been assessed under the internal Revenue laws of the United States
against the following-named taxpayer, taxes lincluding interest and penaltiesl which after demand for
payment thereof remain unpaid, and that by virtue of the above-mentione~d statutes tha amaunt of said
taxes, together with penalties, interest, and costs that may accrue in addition thereto, is a lien in favor
of the United 5tates upon all property and rights to property belonging to sa~d taxpayer, to wit:
_ - - _ -
NAME OF TAXPAYER
~uie w_ & 8uth--P--~c~~ir _ _
R~5IDENCE OR PLACE OF SUSINESS
~0 1 1 ~ V!II
AMOUNT OF
TYPE OF TAX AND PERIOD ASSESSMENT aATE REFERFNCE NO. I ASSESSMEIYT
ial ~b~ ~ ~ Id)
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i
~a4o x~co~e i2-31-64 i o6-i6-b5 ~75 05 82So ~ 569.85
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FLACE GF ~~ur;r
C1sr1G~ Cirauit Court
St. i,usis County TOTA! z 9~6'3.85
~b!'~ ~,gPCA~, 1~02`~.~fl
Me~t Pals Beach~ 1~°'lorida
~,1IITNESS my hand at-------- on this,
the---~E?~~__ ~day of-_-_j~caerh~r 19~_
DISTRICT DiREC70R OF INTERNAL REVeNUE ~ ~ature) ~ T~TLE ~
S. SC~DT Tha~ C. Cira~e~ (irou Su e r
INO•TE: Cert~ficat~ of off~cer autho~~zed by law +o taka ackncwled~ment3 is not essent(al to the validity of Notic~ of Federal Tax Lien GC.AA. 2641'i, C.B-
i950~51, 125.) 0 R ~.~1 :
PAR7 i- T• be reta+ned br recordina affic~ SOQK ~t~ u~
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