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Fe~w 66~ U. S. TREASURY DEPARTMENT • INTERNAL REVENUE SERVKE F« OM~wI Use 8r R~ca.du~ ON.ce
(REV. 8-67) NOTICE OF FEDERAL TAX LIEN UNOER IMTERNAL REYENUE LAwS ~
DISTRICT SERUL NO. IlEO ANO REEORU~ED'' ,
Ja k nv3.lle ~ ~R~COR~ VER F~iEDLa~
Pursuont to the provisions of Sections 6321, 632Z, ond 6323 of the Int~rnol Rev~• ~QA,~ ~ O .
nw Code, notice is h~~~by giv~n thot tl~~~~ hov~ bi~n ossess~~ und~r tht I~t~rna) V`f11
R~veew kws oi th~ United St~t~s apoinst tl~ follpwin9-nomed toxpar~~, tqx~s~~A O^~ ~ D{1 2• 3~ '
(includin9 int~rest ond penaltits) whieh ah~r d~~ond fo~ poyment the~~of r~moin 7 li rrl •
unpoid, ond that by virtue of th~ obov~•n~tioned swtut~s th~ amount of soid toxes, ^~,~o~
toy~thn with penalti~s, inhr~st, ond casts thot ~y accrw in oddition thereto. is
o lian in favor of tht United Srot~s vpoe ol) propertr and riyhts to prop~rty b.~on~- ROrCR P~ITRAS ~
inp to so~d roxPoy~r. LERK CIRCUfT COUKT? _
NAME OF TAXPAYER ~
Pt~il.lip P. & H~..l.en Zipes : `
RESIDENCE •
220R. N. ~T• 23rd• 3t•
t~am~ Be~.ch, Flarida 33139
CLASS OF TAX : UNPAID BALANCE
(To: R~turn Fwm No.) PERIOD ENDED ASSESSMENT DATE laENTIFYIPiG NUMBER OF ASSESSMENT
(u) ~b) ' (c) ~d) (e)
l040 ]2/3~/b7 u/8/~ oGG~o3..8133 28s293•84
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PLACE OF FILING ~
~ G].8~'$~ C~2'CU1ti COLlY't TOTAL s 28,293~~
sti~ ~1C~8 Ci01311~i
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WITNESS my hand ot 1~~-~ ~1~~ , oe~ this,.
the 8 doy of Octobez' , ~q 69 " ~
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SIGNAT TITI.E ,
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MOTE: C«~ificor. o! offic•r or+l,«issd br la. re rok• eekno..l•dp..MS is no1 ~ss~midl to tM voliditr of Ndics ef F.d~.e! Ta: Li.n G.~a,1,
~19, C.B. 195G51. 125J `
a~s~ ~~o~ ?
PART 1 To b~ retaie~e! by neordiny offiu -
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