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Form 66Y U. 5. TREASURY DEPARTMEPIT • INTERNAI REVENUE SERVICE `~~~f~
(REV. NOV. 1961J NOTICE ~F ~EDERAL TAX LIEN UNDER IWTERIdAL RFVENUE LAWS <<~'
D15iRICT SERIAL NUMBER
JACKSONVILLE, FIARIDA ~
Pursuant to the provisions of Sections 6321, 6322, and 6323 of the Internal Revenue Code of 1954,
notice is hereby given that there have been assessed under the Internal Revenue la~vs of the Unitec~ States
c,ns~;nst the followina-named taxpaver, taxes (includinq interest and penaltiesl which after demand for
payment thereof remain unpaid, and that by virtue of the above-mentioned statutes the amount of said
taxes, together with penalties, interest, and costs that may accrue in addition thereto, is a lien in favor
of the United States upon all properiy and rights to properly belonging to said taxpayer, to wit:
NAME OF TAXPAYER
Robert E Rahzne
RESIOENCE OR PtACE OF BUSIh1ESS
TYPf OF TAX AND PERIOD ASSfi6SMENT DATE REFERENCE NO. AMOUNT OF
(ol lb) td ASSESSMENT
(d)
1040 Incane 12-31-63 US-13-64 262~58 1789 $ 191.50
~~j~ ~ND RECO OED
. I N~1zlCla~-- 8 0 0 K
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= FEB I q AM ; 5 p
: ~ - ~ ~ = -~-~`~'7~3_1
~ _ = RoGER ~o~ rH,~s. LERK ~
~ ' . - . - S1'. LUCIE COU TY,
~ , FLORiDA
t. _
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PIACE OF FILING
= Clerk, Circuit C~rt
' st. Lucie Caunty To7AL s 191..50
~ Fort Pierce, Florida
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WITNESS my hand at ~est Palm Beach, Florida , on this,
the lOth day of Februarv , 19b6
DISTRICT DIRECTOR Of INTERNAL REVENUE ( ture) TITI.E
~ ' ;
} F S SC IDT Thamas C. Graves Group Supervisor
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; (NOTEs Certifxots of-officer a~thorized by law to take acknowledgment~ ts nat essantial to ti~e valldiry of Notice of Feclera) Tax lisn G.C.M. 26419, C.&
~ 1950-51, 125J ~ R ~An
PART 1- To be retaines~ by recording oflice g00K vv