HomeMy WebLinkAbout1114 ~l ~E~~~~~_', y (
form 668 I U. 5. TREASURY CEPARTMENT - IyTECN~~ REVENUE SERViC2
IP.EV. i~OV. 1961) I NOTICE OF FEDERAL TAX LlEN UNDER IlVTERNAL REV~NUE LAWS
DISTRICI SER~AL NUMBER
Jacksoriville~ F'lorida
Pursuant ta the pro~risions of Sections 632i, 6322, and 6323 of the Internal Revenue Code of 1954,
notice is hereby giver~ ihat there have been assessed under the Internal Revenue laws ofi the United States
against the following-named taxpayer, taxes lincluding interest and penaltiesl which after dernand for
payment thereof remain unpqid, and that by virtue af the above-mentioned statutes the amnunt of said
taxes, together with penalties, interest, ond costs that may accrue in addition thereta, is a lien ~n favor
of the United States upon all ~roperfiy and right5 to pro~erty belonging to said taxpayer, to wit:
IVAME OF TAXPAYFR
ftobert I~4, AllisontAward Winnir~ ~ti:r~~iin~ Poal~~
RESIDENCE OR PLACE OF BUSINE55
1t1~17 So. Federal. I-~~.~ Ft. PierGe~ Florida
~
TYPE OF TAX AND FERIOD ASSESSMENT DATE REFEr2ENCE N~G. AMOUNT OF
(a) (b) (c1 ASS~SSMENf
i (d)
--r-
t
91~1 - 12 3 61~ 3-26-6; I 59~0837496. 253.b8
/ ~ I
F~L AN RECO DEO
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. ~ I ROGEr~ PutTRAS. C ERK ~
f ST. ~UCIE COUN Y
~ ~ ; ~LORIDA ~
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F'L.4CE OF FtUNG (~1.eI'~t~ C17'CUl{i. .~.e0U2't ~
St. I.uc~e ~aunty, TOTAL I s 2b3.68
~'t. Fi.e rc e~ F"lo rida ~
- - ----1-- -
WITNESS my hand at West Palm Beao'h, Florida ~n th~;,
the~~ _~day of~ ~u~ , ~q b5
DISTRICT DtRECTOR' OF INTERNAL REVENUE BY ( n~ture) TITLE ~
~
F.S. Schm'idt Group Superv~.sor
IN~7F: Cert~6c-~te of uffcar cwthc~~red by Ir,w tc t,ke ackrowledgments is net essential :o tt~e ~ali~iry of Nut~;z ~ T lien G.C. C.B.
~v,o-st, ~2s.i PART 1- To be reta~ner! by recording office p01(~~~