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1,
Form 66$ I Depattmont o! tho Trcasury - Inter~~l Revenuo Serv~o
lRev.SeDtembert978i Notice of Federal Tax Lien Under lnternal Revenue Laws
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~IS~fICt Serial Number Fd Opt/ona/ Use Dy Record~ng Otl¢e
Jacksonville~ Florida ~' S19451 ~R ~s ~ ~ 35
~ ~ ..
As provided by sections 6321, 6322, and 6323 of the Internal Revenue Code, ~ ~ ~R~1COYRdEO
notice is given that taxes (including interest and penalties) have been assessed ~r RrOtTRAS~
against the foltowing-named taxpayer_ Demand for payment of this liability has •' ClRqllt E
been made, but it rema~ns unpaid. Therefore, ihere is a lien in favor of the United pE~~;,i ~FaU~t ~_ _~~ --
States on all property and rights to property belonging to this taxpayer fo~ ihe ~
amount of these taxes, and additional penalties, interest. and costs that may
accrue.
Name of Taxpayer
H. P. & Baxbaxa Thompson
Residence 140 E. Prima Yista Blvd
Port St. Lucie, Florida 33452
Fort Pierce, Florida
T ~ Unpafd Balance
Kind of Tax Tax Period Ended Date of Assessment Identifyinq Number of Assessment
(a1 (D! (c1 (dl fs)
l040 12-31-79 07-07- - - 3 ~ •
Place of Filing
Clerk of the Circuit Court
St. Lucie County Courthouse
Fort Pierce, Florida 33450
This notice was prepared and signed at
519451
Total ~ t 5,129. 22
. on this.
the ~th day of ~'~h ,19 ~
Signature -~,~ `~ ~ ~2.~- Title `
/ ~~ Revenue Officer
M. W. Watts
~ (Nots: Cort~ficals ol ollicor euthw~zed Dy fa~ to ~~ke ~cknowledyments is nof ossenti~l to tAa v~liOAy W Nolics d
Fsdenl T~,c L~en O.C.M. 26~f~, 1954f, C.9. 125.) (~R ~~
~ ~~ P~GE Form 668 (Rev. ~78)
~ Part 1_ - To be kept by recordiny office . _
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