HomeMy WebLinkAbout0041 ~68 1 U. S. 7REASUP,Y DEPARTMEM - IYTERNAt REVENUE SERVItE I Far Oprima! Ua~ 8r R~carding Olfk• ~
«r~. ~-es~ ; NOTICE 0~ FEUE~AL TAX LIEN UNQER IfdTERNAI R~VENUE LAWS
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DiSTRfCT SERIAL NUMBER FI E ~AN EC RDFD
Jaci~s~nv-ilte,_~1^rida ~
Q~ ~800K
PurwaM ro t~e provisions cf Sect;cns 6321, 6322, and 5323 of tl~e Intamal Rnvenue Code,
nct .e is f,ereC; g ven thc~t the: ~ have 'r,een ossessed under rf~e Irremal Revenue Icws of she
Un' 5?a!es aga nsr t~:e follev`Ir~-n~med toxpayer, toxes ;inc!vdir.g interest and penolties~ whic~,~ h'Uy ' S P~ q,
o~r_ _lem~r.d icr paymert ti~ere~F rern~~n unpaid, ar.d thcit t} v::::;z cf the above-menii~ned ~ L
5' s tii . r•~o_nt cf s ~ e to. ":~ett er v:.•h penalties, intere r.d costs t~~t moy car~e ~ t~~) ~ +
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r i n.~e• ic ~ I r~ •of !ne ~n''e~ 5'ates upcn a" ~ r~•ty anc~ r.gh's to p:ope'tYF( ~ t_ i~ ~ ~
Ee cng r.g to ~J'axpayer. ,',J. '
` i. LUCi~: CQUiJ i Y,
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'JAME ~F TAXPAYER ~ LO R( D Q
"i.}:e 7otirin, Anns Rest~~~~rar.T
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=.c~iDE~dCE OR PLACE OF .'USINFSS
Zn1Z ~PI'1T18e a`,7n~~ ='L. ri~rre~ ~~1''• ~
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CLASS OP TA~C ; ~ ~ UNPAID 6~_~~NC_
(Tax Rerurn Form ;vo.J ~ ?EE.OD E~JC'D ~ ASSES~1.5t'dT U;.7c iD'cNTIFYiNG NUI.tEER I OF ASSS .:.N7
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9~~1 3 /?1 /~,5 7_23_~ , ~ 5y-~~~1?2~~i !a~~.7~
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P~:.cr o~ ~-~~~vc "lerk, rcui'~ ~'r„r+
St. I_•~ciP ~'.o~~nt.'~ rorA~ I S~8c,~77
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V~~ITNESS my hand at '`T';+ na~"'• °euCti?, ~ Lorida , on this,
the_ 9th day of
'~"~°""~°Y' , 19 ~2~ ~
DISTRICT DIRECfOR OF It+lTERNAL REVENUE BY g o/ T~~,ing
r. :~r~~w~t ^x~!»,:~ S~~~ervisor
. 0'Connell
(NCTE: Certificate of office! a~thorized by 1aw to take ecknowlydgments ii not essential s~ the validiry of Notice of Federal Tax Lien G.C.M.
26419, C.B. 1950-51, 125.) 1 ~c
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PART 1--Tn be retained br recording vffit~ EOGK J
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