HomeMy WebLinkAbout2854 i
~
~ .
Fero 668 U. S TREASURY DEPARTMENT - iHTErtn~~ REvENV~ SErti~GE ~ 1 Fr pp~.c~o1 Use 8~ Rcc~:;_ ~ L`?!:ce
(REv. &671 iiOiitE Oi ifDERAI TAX tiEii iliiD~R iiiiERiiAi REVEiiilE tAMii ° T-
DISTRICT SfR1AL N0. ~LE~ ANO R~C,~RoEU~
Jaoksonvills~ Florida ST. LUCI~ COUN Y. I~LA.":
Pursuont to tbe provis~ons of Sections 6321, 632?, ond 6323 of t6e i~~s..~~ R~.,,e- RFCORD VERiF1E0
~ue Code, notice is hereby given thot there hav be~n ossessed under the Internol 181002
R~venw (aws of the United Stotss o9ainst fh~ (ollowing-nomed toxpoyar, toxes t~A ~ 2y
q • u
(iecludiny int~rest a~d penalties) which ofter dema~d for poyment lhereof ~emain 7 ~ ~ G~ O1
unpoid, and thot by virtue of the obove-mentioned stotut~s th• amount of so~d taxes, ~
toyeth~r with penolties, inter~st, ond costs thot iaor occrue in add~tivn thereto, is
o li~n in favw of fhs iJnited Stotes upon all property and rights to P~oP.~ty beio~9- RQGER ~OITRAS
~n9 to so~d ~a:Pay~r. . 6LERK CIRCUIT COURT~
NAME OF TAXPAYER
ROB~tT H. PRZEKOP, ~ro Bs Appliance Repair
RESIDENCE
316 Orange Ave., Ft. Pierce, Fl,ori~da~.33450
CLASS OF TAX UNPAID BALANCE
(Tox Return Form No.) PER100 ENDED ASSESSMENT DATE 1DENTfFYING NUMBER OF ASSESSMENT
(01 lb) fc) (d) (e)
9t~1 12-31-68 7-4-69 59-1111~734 532•74
PLACE OF FiLING ~
$t+• T+11C3.@ CiOlllit.~
Fti~ PI.9TCe~ FZOI'~~ TOTAL S 532~74
r WITNE55 my hand ert West P818t Bee?ch~ 1r1o]C3d~s y, on this,.
Y
~ the~_day of J1~,y ,19 69
j.
~ 51 URE , TITLE
<<% aron~p 8upes~risor
~
~ ?ha~as C. Gravu
; (NOTE: Gr~~f~coe• of effic.~ a+!ha.~:.d br la. ~o ~.4• «k~ewl•d9w~nfs is not ~ss~ntia) te tM volidiryr of ~lotie~ ~F F~derel Te= Li~n G.CJiA.
~~9,c.e. ~9sas~. ~zs.~ 600K~.7'8 ~2851
PART 1 To M ntained b~r nconlin~ off~u
f
- `~`W ~ gr s ; ~ ~ r ~
>
~ -~''s'~' ~
, - i ,,~;c
a~
n, F
_ -:~'ji i
. ~2:C~-~'~
t
y~
~
~d .