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Form 668 DEr~it'.M:NT Of THE ~REASURY-WTEiNAL RE~ENUE SE~Y~CE For Optionol llse By Reto?d~ng OfFce `
(R~v. ~a~l~ NOTICE Of fEDERAI TAX UEN UNDER INTERNAL REVENUE IAWS ?~EO ~t~?[ ~t.c,vkoEo
~ucrc ::~i~MTY f~A,
DISTRIQT 13-01~2~04 SERIAI NUMBER FGL; ~%.'~4S
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Pursuant fo the provisio~s of Sectio~s 6321, 6322, and 6323 of the Internal Reve-
nue Code, notice is hereby given that there hove 62en assessed under the internal Ju~ - g- ~ 13 ~lt
Revenue laws of the United Stotes against the following-nomed taxpayer, toxes (includ- e
ing interesf and ~alties) which ofler demand for paymenl thereof remain unpoid. ond
that by virtue of the above-mentioned statutes the amount of wid toxes, together with
penolties, interest, and c~s1s thot moy atcrue in cddition thereto, is o lien in favor of ~101
the United States upon all properhj and righh to properiy belonging to said toxpoyer.
NAME OF TAXPAYER
Albert G.Macrae aka: Gordan Macras
RESIDENCE
262 N. Crescent Dri*~e, Beverly HiZls, Calif.
UNPAID BAiANCE
KIND OF TAX ~ TAX PERIOD ENDED DATE OF ASSESSMENT lDENTIFYII~lG NUMBER OF fiSSESSMENT
- (u) (b) 1~1 (dl iel
! 1040 12-31-?3 b-15-74 122-03-3155 3~,5$1.93
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~LACE OF FIUNG _
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~ ~i . ~ _ TOTAi s33,581.93
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~ V'J~TTlESS my hand ot 120 Chur'ch $t., Net~ Yo1~c~ N.Y. , on :his,
the 18th ~y of dUI19 , 19 71.t
SIGNATURE ~ TITLE
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ac es La e wc Rdvenue Officer
(NOTE: Cert~ficote of office~ oulhorized by law to take ock~owledg:nents is noi essentio! to the votidity of Notice of Federal Tax ! ien G.CJN.
26119, C.B. 1950-51, 125.) g~x~.~(.?V ('~Gt~~
PART 1-To be retained by reco~ding office
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