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Form 668 Department of the Treasury -Internal Revenue Service
(Rev.Septemher1978) Notice of Federal Tax Lien Under Internal Revenue laws
District Serial Number Fa Optional Use by Recording 0lfice
Jacksonville i~Z9 t;Q'i 19 E'~ 3~ 38
As provided by sections 6321. 6322, and 8323 of the Internal Revenue Code, FIIEO ,~hf: kr ~ ~~ci:i
notice is given that taxes (including interest and penalties) have been assessed ~~oGER
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against the following-named taxpayer. Demand for payment of this liability has CL:f:Ri(CtF.CIi ce'. iT
been made, but it remains unpaid. Therefore. there is a lien in favor of the United ~~~_.!~-r,ir,r~ ~
States on all property and rights to property belonging to this taxpayer for the
amount of these taxes. and additional penalties. interest, and costs that may 4~9b
accrue.
Name of Taxpayer
Thomas A. Colson
Tomm s Steil Station
Residence
418 Angle Road '
Fort Pierce Fla. 33450
UnpaW Balance
Kind of Tax Tax Period Ended .Date of Ast;easntent Identifying Number ~ of Assessment
(a) (b) re) (d) rs)
II 941 06-30-77 06-05-7$ 59-1747147 404.11
' 941 12-31-77 03-05-79 174.99
.941 03-31-7$ 03-19-79 360.92
941 09-30-78 03-19-79 423.51
}
Place of Filing
Clerk of the Circuit Court Total = 1363.53
St. Lucie County Courthouse
Fort Piercer Fla.. 33450
This notice was prepared and signed at Fort Pierce ~ Florida , on this,
the 13th day of November .19 79
Signatur~ Title B~ r~
i
C. J. Jr.. Revenue Officer
E (Note: Certificate of officer authorized by law to take acknowfedyments is not essentia? to the validity o? Naks of
p Federal Tax Llen O.C.AI. 2tiltp, 1950.1, C.6. 12b.)
Part 1,~To be kept by recording office) Form 668 (Rev. 5.78)
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