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Forty ~.F U. S. TREASURY DEPARTMENT • INTERNAL REVENUE SERYKE fir Gnarl Us• a Rsc.r~:M ONk•
tR~• t2-6~1 NOTICE OF iEOERAI TAX LIEN UNpER INTERNAL REVENUE LAwS
DISTRICT SERIAL. NO. ILE:O AND RB60RAE;~~.
JACI60ANILLB FLORID 181827 B-179 P-986 S RECORD VER FYEDLA:
Pwsuont to the provisions of Sections 6321, 6322, and 6323 of the Interrwl Reve-
nw Code, notice is hereby given that there hove been os:essed under tM Inhmol
Revenw lows of the United Srotes ogoinst the following-Homed toxpoyer, toxe;^ x~
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ereo
remo
or poyment t
(including interest and peralties) which aher demon
unpaid, and that by virtw of the obove•mentioned statutes the omount of soid tuxes,
together with penalties, interest, and costs that may ocerw in oddition tMreto, is
o lien in fovor of tM United Srotes upon oll property and rights to property belong- - ROG:=-Z r01TRA
ing to said roxpoyer. C ERK CIRCUIT COURT;
NAME OF TAXPAYER
halter R. Bishop, Jr., Kalter R. Bishop, General Contracto
RESIDENCE
70ts Southwest Second Court, Jensen Beach, Florida
UNPAID BALANCE
TAX FORM NUMBER PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
(o) (b) (c) (d) (e )
941 Withholding 12-31-63 6-19-64 59-1006618 $ 1,201.62
PLACE OF FILING
Clerk, Circuit Court
St. Lucie County
Fort Pierce, Florida
TOTAL ~ = 1,201.62
NOTICE OF fEDERAI TAX LIEN REfIlIN6
IRS SERIAL NUMBER RECORDER'S IDENTIFICJ1T10N NO.
Pierce, Florida
NOTICE FILED WITH Clerk, Circuit Court, St. Lucie County, Fort DATE ~
TAXPAYER'S A ESS
(If difMrent rhos shown above)
SIGNATUR ' TITLE
f s raves
WITNESS my hood at ilast Palm Beach. Florida , on this,
the 13th doy ~ August , 19 69
SIGNATURE James 0• Shutiyp TtTIE Acting Group Supervisor !
(NOTE: Cert'dicaM of oHker outltarized by bw b take ocknowledpreents is not essential to the validity of Notice of Federal Tax lien
G.C.M. 26419, C.lt. 19SO-1, 12S.J
~~ 179 X2508
PART 1 To be retained by recordirtR ofNce