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Form Department of the Treasury • Internal Revenue Service
(Rev.SeDtember1978) Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number Fo. opt/ond use Dy Reeordinp Olllca
3acksonville ~ 4~~3
1980 APR 10 P!f 2 36
As provided by sections 6321, 6:122. and 6323 of the Internal Revenue Code.
notice is given that taxes (including interest and penalties) have been assessed o
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 YERIFtED
amount of these taxes, and additional penalties. interest, and cysts that may
accrue. 4~~~i~3 -
Name of Taxpayer
Thomas A. Colson
To Steil Station '
Residence
418 Angle Road
Fort Pierce Fla.
Unpaid Balance
Klnd of Tax Tax Period Ended Date o4t Assessment ldentifyltty Number of Assessment -
(a) lD) lc) ld) ls)
941 09-30-79 oz-18-80 59-i7471~+7 480.33
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Place of Filing
Clerk of the Circuit Court
- St. Lucie County Courthouse Total = X0.33
Fort Pierce, Fla. 3~F50
Fort Pierce Fla.
This notice was prepared and signed at . , on this.
the 11th day of March ,19 ~ ~ '
Signat~ Title
C. Moran, Jr.. Revenue Officer
~ (Nate: Certificate o! ollicsr authorized by law to take acknowledpmsnts Is not ~ eesentla/ to tM vaU0lhr o! Notlee of
Federal Tax Uen O.C.b. 26r1p, t05Ot, C.B. 125.) ~fR
Part 1- To be kept by reoordltq 8 ~ P~ Form 668 (Rev. s-78y