HomeMy WebLinkAbout0413 ~ _ 13~A69 ~
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~~~,s~ U. S. YREASURY DEPARTMENT . INTEftlVAI REVENUE SERViCE fa Opltawl 1~ ~r R~caidiw~ OHtar
-~REV. 4•d5) NO11CE OF FEDERAL TAX UEN UNDER INTEItNAt. REYEMUE lAWS rN ~ ,AN RECORD~~
DISTRICT SER~AL NUMBER
_ Jacksomrille~ Flaric~a I ~!lOOK
Pursuont to the provtslo~s of Sectio~e 6321, h322, and 6323 of the Intema( Revenue Code,
notice is heroby giwn tFiat ihere ~ave been assessed ~nder the Internal Revenue laws of the '6S SEP 29 • q
United States ageinst the foilowing-nomed taxpeyer, taxes ~i~cl~ding interest and penalries~ which PM • Of.
after dertwnd for paymeM thereof remain unpoid, and that by virtue of the ebwe-mentioned ~~~"vv~a7
atatutes Tiie amount of said taxes, t~getlier with penalties, interest, and msts that may accrve R~~ER ~,~~.~RqS
in add~tio~ thereto, is a licn in favor of the United Stnsea upan al) property and rigFts to property ~T, LUCIE • ~LElFK. ~
y~longing to said ,~~Y~. COUNTY~
- - - ~LOR1~A
NAME OF TAXPAYER
.S~"P• Ax~dTeWB
RESIDENCE OR PLACE 4F BU51NE55
1.~;09 l~orth 16th gt.,
C~qSS pp 7'qx ( URlPAID BALANCE
(Tax Retum Fortn No.) PERIOD ENDED ASSESSMEM DATE IDEtJTIFYING NUhtBER OF ASScSSMEiVT
(al Ibl 1~1 Id) lal
iol~a L2-31-53 l~-7-5~ 265-~~2-9352 299.5~
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F~~~~ Cleric~ Circuit Court
~ +~'3'f,• l+L:C~B CQiltlt.y~' TOTAL = Q~9 •5~
Ft• F'~eTCA~ F~AI'~~
Wl1NESS my hand at West Pglm Be~:ch~~„~ , on this,
tha...?.~.~.th ~ay of ~g#'~+~+ , 196~_.
D~STRICT WREtTt7R OF INiHlW1L RE11B~NlE BY ar.~ TITLE
F. S. Schmi.dt Grcup 9~erviaor
(MpTE: Grtificote of offlur a~qfiorized by iow to taks ocknowl~*• • nat a to t!» wlid~ty of t~arice af Pd~rai Ta~ t~ G.C.M.
2bd 19, C.B. 1950-51, 125.) ~
PART 1--To bt rretdn~d b~? rACOrdir~ offiu
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