HomeMy WebLinkAbout2210 form dGe U. TREASURY DEPARtMENT - iNTERNAI. REVENUE SERVIEp ~d '
ik~~. Nov ~ssii ! NOTICE OF FED?ERAL TAX UEN UNDER INtERNAI RE1/ENUE LA~~VG'~~~
OISTRICT SERIAL NUMBER
J~CKSOti'VZLL~_,_ FLORI_DA _ _ _
Pursuant to the provisions of Sections 6321, 6322, and d323 of the internal Revenue Code of 1954,
r~ot~ce is hersby given that there have been assessed under the Internal Revenu~ laws of the United States
against the following-named taxpayer, taxes lincluding interest and penaltiesl which after demand for
paymenfi thereof remain unpaid, and that by virtue of the above-mentioned statutes the amount af said
taxes, together with peralties, interest, and costs thai may accrue in addition thereto, is a lien in favor
of t}~e United States upon all property and rights to property belonging to said taxpayer, to wit:
. - _ _ -
NAME OF TAXPAYER
----~~'alte_r_ d~_Donna_ I~L Nickerson - - - ~
RESID"eNCE OR PLACE OF BU51NE55
2002 ve u
TYPE OF TAX AND PERIOD I ASSESSFhENT DATE I REFERE~vCE NO. ASSESSMENT
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1040 Income 12-31-64 i 06-02--65 ~ 263 2G 3450 $ 174,07
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PLACE CF FiLIN"
Clerk~ Circuit Co~st
~ St. Lucie County Tc~Ta~ S 174.0'j
Fort £'iercei Floricia
V~JITNESS my hand at-_ _ West__Palm~each.~ Florida _ _ on this,
the _._4th _ _doy of _ - --~Invember 19
_ - - - ~ - -
DiSTRICT Di-'sCTOR CP IN~Ek"JAL R~VENUE BY (~i ature) T~TLE
~
F. S. SCHMIDT Thomas C. Graves Grou Su ervis
jN~ic: Ca•f'~~::::e cf cfr:cer avrhonzeo by low to t:Re a:knowie~~rnems is not es>en',a! tu t~e valid~!y ef N:,ti:e of Federal Tax 1~sn G.G.M. 26419, G.B.
19~0-51. , 25., ° R 130 4~.1
PART 1- Ta be reta+ned by recordin~ office 600K