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Form 66s oEn~urMErrt oF Tr+E r~Fwsurr-wrfeNU eEvfNUE sEev+ce Fo. qanono~ ua. ti R.~o.d~y o1Fc.
~r~v t-~ol NOTKE Of fEDBtAt TAX l~l UNOQ NrTfltNAI REVENIIE LAMI'S i.luCiE CoUE~i1?
DISTRICT SERIAL NUMBER CIER~CIR~~*~~~
Jack vi RECORO VEpfijEp
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Punuant to the provisions of Sections 6321, 6322, and 63?3 of the Internol Rev~
nue Code, notice is hereby give~ thot there have been assessed under the Interna! 2~~~~~
Revenue lows of the United States ogainst the following-nomed taxpayer, taxa (includ-
ing interzst and peROlties} which after demand fw paymen~ thereof remain unpaid. and
that kiy-r~r•t~e of the obovementioned statutes the omount of said taxes, together with
penolties, interest, and costs that mar accrue in oddition thereto, is a lien in favor of z 0 8 5 0 3
tfie United Stoles upon oll property and rights to property be~onging to soid taxpayer.
NAME OF TAXPAYER
Henry LBe itilliams
RESIDENCE
Rt 3 Bo~c 510
Fort Pieroe~ Fla~ida
UNPAID BAIANCE
KINO OF TAX T/1X PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
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101~0 12 31-67 11-2~-?o z52-~4•2-6994 ~4~03.47
j 1%0 12 31-~68 11-20-70 252-~42~i994 581./~0
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~ ~t,~?Cr OF fi«t~G Clerk~ (~rc~t Court
_ St, Iude County TOT/LL s`~4.8?
- Fort Pisrce~ Florlda
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s' Meat Peln Beach ~'lorida
WITNESS mp hond ot : , on tha,
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= tfie?~day of I"~~? , 1971
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„ SFGNAT TiTIE
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~ THOHS Ci • G~IV~S G1i~tTP $OP~VVISI~
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~ (NOTE: CutiRcar~ oi olFc~ ouNaris~d by bw to tda ocknowt~dgn»nt~ is nd ~s~t~d ro M~ vddRp of No+ic~ of hdad Tox l~ G.C.AA.
26119, C.d. 1950-S1, 125.)
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