HomeMy WebLinkAbout1278 ~ U. S. TREASURY ~EPARTAiENT • IN?ERNAI REvENUE SER%ICE Fa Or.asdlhs B~ Recal+~ OH~c~
~REV, 8-671 ilOTitf Of fEDERAI TAX ilfN UNDEt INTERNAL REYEIlU~ IA~S ~~~y pi _
~ISTRICT SERIA~ N0. F~O ANO R I1~
ST. WCI~ COU~• ~
Jackaonvill~ R~CORp VERI~IEO
Pu~suont to th~ povisions of S~ctio.~s 6321. 632Z;. ond 6323 of the Interna) Rev~- l M~~
nw Cod~, notic~ is h~r~by giv~n thot th~r~ hovt ~~n ass~ss~d und~. ~I+• loter~o) 1
R~v~nw bws of th~ Unit~d Stot~s aQoinst the ~(oilowin9-nomsd toxpoy~r, tax~s e u' ~ 9~ Q'
(inclvdinq int~r~st ond p~nolties) which oftt~ d~ond ior poym~~t ther~of r~moin ~~7 f'W~
unpoid, ond thot by virtw oi the obove-m~ntion~d stotut~s th~ omouot of soid tox~s, ' `
toy~t6K with p~noiti~s, int~r~st, ond costs that nlvp accrw in oddition tMr~to, is .
o(i~n in fovor of th~ Unit~d Stot~s upoe ol) prop~Hy ood ri9hts to propertr beloey- ROGER POIT A8 ~
to sa~d roxPoy~~. (,y.ERK CIRCUI COURT.
NAME OF ;AXPAVER
I'~a9~ ' M~.lli r
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RES~ENCE ~
2~tl9 Jsrae~ ~iemis
Fb~ct Pierce~ Fyos~id~a
GLASS OF TAX , : UNPAID BALANCE
(Tax R~turn Fwm No.l PERIOD ENDED ASSESSMENT DATE 10ENTIFYING NUMBER OF ASSESSMENT
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ldio 12-31r-b7 5-31-68 ~6-30••7598 #1~1.00
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PLACE OF FIIING C~I'~~ C~liit ~u?'~
$t.~ LUQ~ OOtUN'i~ TOTAL f
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WITNESS mr hand ot jiest~ Pil1l HNOh~ T1+OI'!di , on thi=,.
th~~_do~? of N~ ._,19 69
ATURE ~ TITLE
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(MOTE: G.~ific~» e! ~F(ica ~ntlwta~~ ~r I~.. te ti~ ~cknwrl.~we~rs is nM ~as~nri~l ~o sM ~~I~ditp d Na~iu ~ F~M+~i Ti. Lt~w G.CiI.
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?ART 1 To b~ ntai~d b~? ncardin~ ofHc~ .
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