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Form 66S OapaRment of the Treasury - Mtemal Rewnw Service
(Rev septambert97a, Notice of Federal Tax Lien Under Internal Revenue Laws -
District Serial Number For opNOnsi Use ty a.cadAq omce
Jacksonville, Florida S~Qa~~ ~ ~P 22 ~ i2:
As provided by sections 6321. 6322.- and 6323 of the Internal Revenue Code. ~tE~-~-~.~iiA.
notice is given that taxes ,(including interest and penalties) have been assessed S R~;R P tftAS
against the fdlowing-named taxpayer. Demand for payment of this liability has aERK Ei~T CSR
been made. but it remains unpaid. Therefore, there is a lien in favor of the United ~coRO ~R~~e-- - _
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
acxxue.
Name of Taxpayer
Roland B. Nicholson
Residence Rt 4, Box 60
Fort Pierce, Florida. 33450
Unpaid Balance
Kind of Tax Tax Perbd Ended Oats of Assessment Ideettifl?htp Number oit Assessment
la) a,) la) lu
.1040 i2-31-78 05-28-79 2424-4782 y'r5.45
i` 1040 12-31-?9 05-19-80 24-24-4782 1,821.60
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Place of Filing
a Clerk of the Circuit Court
3t. Lucie County Courthouse Total = 2,397.05
Fort Pierce, Florida 33450
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This notice was prepared and signed at Fort Pierce, Florida , on this.
the 22nd ~ of September 1 g 80
Signa re Title -
Revenue Officer
~ ~ mx _
Moe CerriNcare a aNlc« autAoriz /aw ro tatre acknowbdpnrs~tt r~_ w to ene •aaox~? a Norrw a
I rx t.ln o.c.iu. ze~i0. eoaa . c . eza.) eoo~s~~~
I~tt/Jtt71 Pl
Part 1, - To be kept by recording office: , Fam 888 (Rev. 9.78)