HomeMy WebLinkAbout0987Form bbd U. S. TREASURY DEPARTMENT- INTERtu1l REVENUE SERVICE Fa.grr:o.elUseBrR~cerdn,OH:c.
(REV. 8.67) NOTICE Of FEDERAL TAX LIEN UNDER INTERNAL REVENUE IAwS
DISTRICT SERIAL NO.
ST. LUC E COUNTY. ~ A.
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RECORD VER
Pursvont to the povisions of Sections 6321, 6322; and 6323 of tM Internal Reve-
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nt+e Code, notice is Mreby given that there hove bien assessed under the
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Reve~t3e laws of the United States against the ,following-homed taxpayer, taxes
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unpaid. and that by virtw of the above-mentioned statutes the amount of said foxes, j
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togetMr with penalties, interest, and costs that racy accrue in addition tMreto, is ,
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o lien in favor of `th. United Statss upon all property and rights to property b.long- ROGER i'OITRAS
ing to said taxpayer. CLERK CIRCUIT COURT:
NAME OF-.TAXPAYER
Walter 8 Bishop, Jr., Halter 8. Bishop, General Contractor
RESIDENCE
708 Southwest Second Court, Jensen Beach, Florida
CLASS OF TAX UNPAID BALANCE
(Tax Return Form No.) PERIOD ENDED ASSESSMENT DATE "IDENTIFYING NUMBER OF ASSESSMENT
(a) (b) (c) (d) (e )
941 Withholding 12-31-ti3 6-19-64 59-1006618 $ 1,201.62
940 Futa 12-31-63 9-25-64 59-1006618 482.91
941 Withholding 12-31.63 9-18-64 59-1006618 103.27
PLACE t)F FILING
Clerk, Circuit Court TOTAL s 1 7$7.80
St. Lucie Countq ~
Fort Pierce, Florida
WITNESS my hood to West Palm Beach. Florida , at ~;s,
the~S~L_doy of August ,19 69
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IAMBS 0. SIIUH>Ef" - - -~ L ACTING GBOUP SUPBBYLSOIt
TE: Catificote ei eflicer outhsri:ed by le.r to tolie ockne.ledgmeras is rqt •sseMiel to the validity el Netiee of Federal Tez Lion G.C.M.
26119, G.B. 195051, 125.)
PART 1 To be treMinod by reconlittg office ~0~ ~~~ ~ ~~
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