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Form 668 OepaRment of the Treasury -Internal Revenue Service
(Rev. September 1978) Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number For Optional Use by Recording Office
Jacksonville 4~~~"5
As provided by sections 6321, 6322, and 6323 of the Internal Revenue Code,
notice is given that taxes (including interest and penalties) have been assessed
against the following-named taxpayer. Demand for payment of this liability has
been made, but it remains unpaid. Therefore, there is a lien in favor of the United
States on all property and rights to property belonging to this taxpayer for the i lE0 ANA ~ :!•GEO
amount of these taxes, and additional penalties, interest, and costs that may S~. luCif ~ . t r FIA.
accrue. RGC~ - ~ S
CIEPt ~~U4f~
REGGN`` i! ~ c .~liiia~
Name of Taxpayer
Thomas A. Colson ~ 1~ 2 23 Pl1
_ Tomm s Steil Station
Residence 4 ~~C
418 Angle Road J
Fort Pierce Florida
Unpaid Eialancs
Kind of Tax Tax Period Ended Date of Assessment Identifying Number of Assessment
ra) (b) rc) (d) [e)
941 12-31-78 10-13-79 59-1747147 899.94
941 06-30-79 10-13-79 784.06
940 12-31-78 10-13-79 420.75
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1
3 Place of Filing
Clerk of the Circuit Court Total s 2104.75
St'. Lucie County Courthouse
j Fort Pierce, Flcrida 33450
This notice was prepared and signed at Fort Pierce, Florida , on this,
't
a
the 17th day of December,tg 79
Signat Title
C. oran, Jr. ~ ~ Revenue Officer
(NOIe: Certificate of Ollicer authorized Dy law to fake acknOwtedgmsnts is not essential f0 the validity o/ Notice W
Federal Tax l.lsn ti.C.M. 2tfltg, tg5O1, C.B. /?5.) f11t1~A