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FOrm 668 , DEPARTMENT OF ikf iREASIiRY-fNTERNAI kEVENUE ;,ERVICE Fo? Opliawl Use By Reoo?dn9 OlI'ic~
(REV. !-70} NOTICE Of fEDERAI TAX UEN IiNDER INTERNAL REVENt~ LAWS ~~p$~~~
DISTRICT SERIAL NUMBER
lF~+.~i~
r; f01~A~~ Gir
JACKSON~'ILI.E ~~E~R y•~t~d~~ ~p~J~
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Punuant to the provisions of Sections 6321, 6322, and 6323 of the Internol Rev~ -
nue Code, notice is hereby given thot there have been assessed under the Internol J~ ~ u?7
Revenue laws of the United States agoinst the fotlowing-named taxpayer, toxes (includ- ~n 1~
ing ~nterest und penalFies) which ofter demand for payment thereof remaio unpaid. and
that by virtue of the above-mentioned s~atutes the omount of soid taxes, together with
pena!ties, interest, and costs that moy occrue in addition thereto, is a lien in favor of
the United States upon al) properfy and rights to properfy be!onging to said ta~ayer. ~r•y~w O~
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NAME OF TAXPAYER
Cla [on A& Gloria N Abercranbie
RESIDENCE ~
107 South 30th S1
~'T Yierce i~L 3345U ~
UNPAID BALAN~E
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSNIENT
la1 rol kl ld1 - (el
1040 12 -31-71 07 -3U-73 4'L 1-34 -7'L4L 1, ~50. 74
PLACE OF FILING
CI@rl4 Clrt:uft COUrt TOTAL S
1,05U.74
Fort Pieroe. Florlde
WITNESS my hand ot hiia~ni Florida , on this,
~e 21st day of January , 19_ 74 -
SIGNATURE T1TLE
^ _1r' Chief, Uffice Branch _ -
(NOTE: Certificote of
ofilcer auihorized by la~ e ockr;,wledgments ~s not essenhol ro tne va'~d~ty of Notce of Federa~ Tax lien G.C.M.
261!9, C.B. 1950-51. 125.j
PART 1-To be retained by recording o~ce d~l~ PA~E