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form 668 U. S. Tr~Ef15UF'.Y DEPARTI.SENT - INTERNAL REVENUE SERVICE
~REV. Nov. iebil NOTICE O~ FEDERAL TAX LIEN UNDER INTERNAL REVENUE LAWS r`~i?
DISTRICT SERIAL NUMBER ~
~
__~~(;~$,nNVTi i F,~ ~i~RInA
Pursuant to the provisions of Sections 6321, 6322, and 6323 of the Internal Revenue Code of 1954,
notice is hereby given that t{~ere have been assessed under the Internal Revenue laws of the United States
against the following-named taxpayer, taxes lincludir.g inter~st and penalties) which after demand for
payment thereof remain unpaid, and that by virtue of the above-mentioned statutes the amount of said
taxes; to4efiher with penalties, interest, and costs that ma_y accrue in addition thereto, is a lien in favot
of the United States upon all property and rights to property belonging to said taxpayer, to wit:
NAME OF TAXPAYER
James ~ Myrtle Saylor
RESIDENCE OR PLACE OF BUSINESS
Route 4 Box 102 Fort Pierce Florida 33450
TYPE OF TAX AND PERIOD ASSEb.SMENT DATE REFERENCE NO. AMOUNT OF
lal (b) A55ESSMENT
(d)
1040 Incame 12-31-64 Ob-02-65 415 22 b551 $ 278.44
FILED AMD RECOR ED
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- ' ~ ~ ~ - - '66 JAN 28 Pt~ ~ . 39
_ - - ~ ~ - ~ ~ t~ L
- - - _ - " ROGEiZ f~O~~s i;:,.~. CLERK
~ ~ ST. I.UCIE COUN Y.
~ . ~ ~ FI.ORIDA
- ~
PLACE OF f~LING
Clerk, Circuit Court
St. I~ucie County TOTAL 5 278.44
Fort Pierce, Florida
. WITNESS my hand at W~s~ P8~ Beach, ~lorida
, on thts,
the 27th day of January 19 66
.
DISTRICT DIRECTOR OF IMERNAL REVENUE S' oture) TIYLE
F S SCHMIDT Thamas C. Gra es ' Group Supervisor
(~10TE: CerTificota oF offKOr authoriied by law to take ocknowledgmants is no! essantial to the validity of Notic~; o~ F~o~?~x Uen G.~~~419, C.B.
1950-51, 125.) $Q`IK
PART 1-To be retainsd by recording office _