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p~ Q~~ Department of the Treasury -Internal Revenue service
(Rev.sewember1978) Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number C/~C For ovtrons) ua• a A•zaa~w orec•
JACI{SOhlIILLIs uL*a70`!J ~ ~ P~i i2. ( 3
As provided by sections 6321. 6322. and 6323 of the Internal Revenue Code. s) ~ ::.t';,~-
notice is given that taxes (including interest and penalties) have been assessed ` ~ ' ~ ~ ~
against the followin named tax
9- payer. Demand for payment of this liability has R~Lc-~ u.. ~ .
been made, but it remains unpaid. Therefore, there is a tian in favor of the United --~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 ~~,`j845
accrue. . .
Name of Taxpayer
Loyal D. Thomas
Residence
3013 K. Dixie Blvd.
Ft. Pierce, Fi. 33450
Kind of Tsx Tax Period Ended Qete of Assessment l Unpaid t3alance
dentifyirq Number of Asssssntent
(0) (o) (dI f~)
94'1 09-30-79 03-24-80 59-1915118 i , 8,56.46
941 12-31-79 03-31-80 59-191118 1,566.67
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PI of Filing
~Glerk of Circuit Court
St. Lucie County Courthouse Tonal i 3,4X3.13
Ft. Pierce, F1. 33450
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This notice was prepared and signed at ~ • Pierce ~ ~ • , on this,
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the 15th day of October 19 80.
S~ Title
Revenue Officer.
M C•rtH • o/ oHier •urhwiz•d by law to ru~• acknowJ•dpm•nq b not •sa•nN•/ to tM v~ddlly of Noue• W
lax O.C.Y. ?b~fo, ,pS41, C.B. 1?6.)
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-Part 1 - To be kept by recording P~ Form 668 (Rev. 9-78) '
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