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F°"" 668 oa~paftmen: of the Tfeawry • Internet Revenue Swvice
(Rev September1o78) Notice of Federal Tax Lien Under Internal Revenue Laws
[hshict Serial Number - F« o•rkx~.r w• br Raeownp onro•
~i+~1~333 t9~ SEP 30 1W
JACI{SO~NVIId,E
fIl.EO RECOIj0i0
As provided by sections 6321. 6322. and 6323 of the Internal Revenue Code. 3T RUC TY.ittA.
notice is given that taxes (including interest and penalties) have been assessed ~ OITRAS
against the fdlowing-named taxpayer. l~mand for payment of this liability has C C~
been made. but it remains unpaid. Therefore. there is a lien in favor of the United CORt1YERIftER.. _
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
ac«ve- - 501313
Name of Taxpayer
ARTHUR do DONNELL tiHEATLEY
Residence
N
Unpald Baltmce
Kind of Tax Tax Period Ended Date of At~ssntaltt Idantifyirq Number of Assessment
~ N) !b) (C) [d)
' id~fO iz-31-71 03-03-75 433-50-~67 9~+3•?3
Place of Filing
. cLERir of ~ttE CIRCUIT coURT Tact i 943.73
INDIAN RIVER COUNTY COIJHPHOUSE
FORT PIERCE, FL ' 33x+50
This notice was prepared and signed at FORT PIERCE, FLA , on this.
i
the z~ .day of S~TEI~ER .19 ~
Signature Title /
v h REVENUE OFFICER
ote: Cartifk:at• of ofllcar aufh •d by fear fo tak• acknorgdpm•nfa b not ass•ntbf f0 th• ralfdM)? 01 Not(o• 01
adral 1a,~ Uan O.C.M. 2A~fla 1 f, C.e. f?b.) t~~~
Part 1- To bs kept btl recording o; Form 688 (Rev. 9-78)
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