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Fo~A 664 U. S. TREASURY DEPARTMENT - INTERNAL REVENUE SERVKE Fs Op~wl U» B~ R«ad.ny Ofi -e ~
iREV. &67) NOTI~E Of FEDERAL TAX LIEN UNDER INTERNAL REYENUE LAwS ~
D AND RECOROED ~
DISTRICT SERIAL NO. ct ~~~F ~;~~NTY. F~-?~• ~
Jacksonville~ Florida ~ : ~~~~I~U ;
Pursuont to th~ provisions of Sections 6321, 6322, and 6323 of tht Internoi Reve- ~
ntre Cod~, notic~ is h~reby given that there hove b~~n ossessed undsr the Internoi i8~~J~ :
R~v~nw lows oF the United Stotes a9ainst tl~e"(ollowin9-named toxpoye~, to~es ' pu Z~ O ~
(iocludin9 int~rest and penaltits) which oft~~ d~aiond fw poyment thereo( remo~~ f~~
~npoid, ond thot br virtu~ of the obovt-m~ntion~d stat:?tes the amount of soid toxes, '
to~~th~t with p~nalti~s, inttrest, o~d costs that mor accrue in odditio~ tMrsto, is
o li~n in fovw of the Unifed Stotes upon oll propeHy ond rights to property belony• ;(11; :_'t! I ~~'.S
iny to soid roxPoyer_ r` RK C1 CU1T COUR7
NAME OF TAXPAYER
JOHN H. STANIl~+t, JB. - Johnny~ s Auto R.epair
RESIDENCE
3905 Metzgar Rd., P.O. Bax 5].L~~ Ft. Pierce~ Fla.-331?5~
CLASS OF TAX UNPAID BALANCE
(Toz Return Fwm No.) PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT ~
i (a) ~b) ~c ) (d ) (e )
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~ 9~ 5..3p-69 12-5-69 59-1220933 1,~57.36 .
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~ PLACE OF FILING ~ 11 ~
~ $t,• T,11C~.@ ~;O11I1tjT TOTAL S 1.~057.36 ~
Ft. Pierce~ Florida =
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WITNESS my hand ot Tdo~ R°°^?+ 81~or~ld~it , on this,. ~
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nc~ 1~'? day of 'Tarnia~'y ,19 70 _
~ SIG TU E TITLE
Group 3uper'visor
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~ (N E: C~rtif co~~ o(iur aut y lo« ~o tok~ ocknowl~d9amr~ts is rqf ~ss~Miol to flr validity of Notie~ d Fsl~ral Te: Li~n G.CJiA.
~6r19, C.B. 145P51, 125.)
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PART 1 7o be ntoin~d by nconling office
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