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Fee11 66/ U. S. TREASl1RY O~ARTMB$~ - IN~ERNAL REVEMlE SERVICE b ~
~~v. a-~s~ NOTICE Of FEDERAI TAX UEN UNDER INTERNAL REYENUE UWS RECORD VERIFIED ~
asraia l sEwa. t~uMeat
Jacksonville Fla.
Pursuoot M ths provisions of Sections 6321, 6322, ond 6323 of ths Intemul Revenue Cods. OCI I~ ~'O • 2 I '
notice is hsroby given that tt~e have been assessed u~dsr ths Internal Raven~e laws of ths 149168
United Sfahs against the following•nomsd Iaxpayer, toxes (Induding Interesf and penalties) which
ofier dsnand for paymsr?t thereof rsmoin unpoid, and that by virtue of the above-ment~oned t<~a(:F{ f'OITRAS
swrutes the cm«,nt of w~d taxes, rogsrhe. w~th penoRtes, trae~est, and co:n that moy aca~e CI.ERK CIRCUIT COURT
in oddition thersto, is a lien i~ fwor of ihe United Stotes upon all pnoperry ond rights to propeny
~elorginp to said fa~ayer.
NAME OF TNXPAYHt
Robert L. Chavers
r~io~ oR a~ oF eus~rr~ss
1709 Avenue "E", Ft. Pierce~ Fla.
~ pF T~ UNPAID BALANCE
(Tax Retum Fwm No.l PERIOD ENDED ASSESSAABJf DATE IDENTIFYING NUMBER OF ASSESSMB~Ji
Ia1 tbl ld (dl (el
I
lOl~o 12-31-65 6-10-65 262-30-7781 100.00
9l~3 1965 4-29-66 59643~90026 38.26
~ °F p~~ Clerk, Circuit Court
st. I,ucie Coixnty, Tor~u s 13$.26
Ft. Pierce~ Fl.a.
WITNESS my hand at West Palm Leach~ ori da , on this,
the 1Q~ day of ~~ber ,19~~
D{STRICT DIRECTOR OF IMERfJf~l REVBJUE BY . TIT1E
F. S. Schntidt ~ Group SU?pervisor
(NOTE: Grtifioots of officsr outhwi:ed by law ro roke acknowlsdprtMnts is nof esseMiai ro ths volidity d Nofio~ of F~derd Tmc 4ert G.CM.
26419. C.B. 1950.51. 125.) O~ ]
PART 1 To b~ rMain~d by ncording offit~ ~ j~ ~ 5~
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