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Fors 66S U. S. TREASURY DEPARTMENT • INTEa?~w~ aEVENUE SEavItE Fo. qPr,orl ux 8~ R«o.d.ey O(i :e
(REV. 8-67) MOTICE OF FEDERAL TAX LIEN UNDER INIERNAI REYENUE LAMIS
DISTRICT SERIAL NO. Sr'`L C E COUNTY
F(„A,
Jacksonville R~CORD VERIFIED
Pursuont to th~ provisio~s o( Sections 6321, 6322, o~d 6323 of the I~ternol Reve- ~~^~O~
nue Code, notic• is hereby given that there hove bten assessed under the Internol
R~v~nw laws of the United Stotes cgainst the iollowing-nomed toxporer, toxes ~1j~t qo p~
(includin9 interes~ ond penalties) which ofter d~mond (or poyment thereof remoin ~~V~ L r!1 2~ ~s
unpoid, and thot by vi~tue of the obove-mentioned stotutes the omovnt of soid taxes,
toyeth~r with penoltiss, i~~terest, and costs thot may occrue in odd~tion tMreto, is
o lien in fovor of the United Stotes upon oll property and riyhts to property belong- ITRAS
i~9 ~o :a~a ~ax~oYe.. CLERK CIRCUIT COURT;
NAME OF TAXPAYER
Fdward Williams
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RESIDENCE
Rt 3 Hox t~51F
Fart Pierce~ Florida
CLASS OF TAX UNPAID BALANCE
(Tox Rsturn Form No.) PER10D ENDED ASSESSMENT DATE IOENTIFYING NUMBER OF ASSESSMENT
~o? ~b) ~c ) ~d ) ~e ~
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f l0l~0 12-31-67 5-17-58 251-9Lt-97.la2 a163.32
f 1040 12-31-58 5-23-69 261-9l~-9142 678.35
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~ PLACE OF FILING . C~2~S~ C~.Y'Clilt COl1T't ~~1~(~'T :
~ St. Iucie County TOTAL s r
Fort Pierce, Florida
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~ WITNESS my hond at West Palm Beach, Florida , on this,.
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~ t~,e 18th dq of November ~ ~q 69 .
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~ SIGNA E TIT~E ~
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~ TH~~'~1 C. G~tA VES GR.4U P SU PERVIS~Ft f
MOTE: Crt~(icot~ of offic~r outharic~d br low to tok~ ecknowl~dy~weots is not ~ss~m~ol ro ~hs volidi of Notie~ d F~derel Tox Li~o G.CJ+l. ~
~~is, c.B. i9sas~. ~ss.~ d00K PAGE tJ~ r
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PART 1-To ba ntain~d br roconling office
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