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- Form 66H DEPARTMENT Of THE TREASURY-IVTE~7A! iEYENUE SERI~9CE Fa Oplional Use By Recard;ng Office
(REV. ia~i) NOTICE Of fEDERAI TAX LIEN UMDEtt lNTERNAL REVENUE LAWS A 9 ~p
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DiSTRICT SERIAL NUM3ER - ~~~Oi P9. R~f
JACKSONVILLE R~"~iFc~ylT G4VRt
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Pursuant to the provisions of Secfions b321, 6322, and 6323 of the Internal Reve-
nue Code, notice is hereby given that there have been assessed under the Internal - ~~j'~ ~4 ~ 17~
- Revenue laws of the United States against the following•narned toxpoyer, taxes (includ- ~
- ing interest and penalties) whicfi ofter demand for payment thereof remain unpuid. and ~
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_ tha~ by virtue of ihe above-mentioned statutes the omounl nf said toxes, togelher with ~~~9~ ~
, penalties, interest, and costs that may accrue in addition thereto, is a lien in favor ~f ~ ~
_ the United States upon ~II property and rigMs to property belonqing to said toxpayer, ~
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. NAME OF TAXPAYER ~ ~
- ~ Jim~ie U~ (Dec~d) ~ Aenrietta Hand ~ _
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" Henrietta Hand - "
RESIDENCE - - - ~
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1603 Boston Ave. - - i
Fte PierCe, FL 33450 ~ ~ ~
~ - UNPAID BALANCE - ~
- KIND OF TAX T~4X PERIOD ENDED DATE OF AS~ESSMENT IDENTIFYING NUMBER OF ASSESSMENT ~
~ (a) (b) i~) (d) _ _ te~ -
1040 12-31-71 OS-13-74 225-38-9563 4,518.48 ~
_ r= 1~40 12-31-i~ OS-06-74 225-38-9563 4,198.~0
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PLACE OF FIIING C(~ERK, CIRCUIT COURT - . - _3
; - - ~T'. LUCIE _!'AUNTY _ TOTAL ~ $s~i~.88 .
FORT PtER~E, FLORIDA =
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WITNESS my hund ot West Palm Beach, 1rL - ~
, on this, f
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= the 4th_ day of Jt~ne 19 75 ~ i
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sicN uR~ ' - , nr~t , -
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~ Grou Ma
TE: Certificote of of~cer aulh~rized by law to take ocknowledgmenh is not essentia) to ?he vaiitlity of NoTice of Fedea~al Tox Lien G.C.M
~ 6419, C.B. 1950-51, 125.) ~ R~~ j~
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