HomeMy WebLinkAbout1323 pe~s bba U. S. TREASURY OEPARTNENT • INTERNAL REVENUE SERYICE Fa ON.awl Us~ 8~ R~cadrg Oqu~
iREv.B-67) ilOTit~ Of ~EDERAi TAX iiEN Ut~DER fNTfR11Al RfiiENUE LAw3 ~~~ED AND RECOROEO
pISTRICT SERUL NO. ST. ZUCtE Ct?UNTY. ~L:~.
Jackeonvil].e~ Florids r~~ a r~ i~~
Pursvont to ~h~ p~avisions of Sscfions 6321, 6322, ond 6323 of the lnternol Reve-
nw Cod~, notiee is htr~by giv~n thot tbsre i+ov~ b~~n oss~ssed under the Int~rnol
R~v~nw kws of tM United Sfotes o9oiost t1+e followin9mom~d taxpor~r; tox~s ~ g ( y Pll ~o
(ineludinp int~r~st ond penolti~s) which oft~r d~wond -for poyment thereof r~main ' 0
unpoid,.ond t6ot by virtv~ oi th~ above-m~ntions~ stctu»s the amount of soid toxes, M
toyethtt with ptnoHi~s, inttr~st, and costs thot nlst aecrw in oddition tMnto, is ~ ~4~~
o li~e in fovw of tl+e Unit~d Srot~s upoo oll p?opertr and riyhts to p?op~rtr Mlony- '''-T''~-~ ''~=T{?~$ ~ -
Cl.~Rh C:RCUtT CQL'RT
inp to `soid foxpoytr.
NAAAE OF ~AXPAYER -
CiHARj~ at AGN&S WAGN~ ' a
RESIGENCE y"~ •
8 3, Ho~c 451Bs Fort Piercei Flooci.d~w3345o : ~ .
CLASS OF TAX T UNPAID BALANCE
(Tox R~turn Foim No.) PERIOD ENDED ~SSESSMENT DATE 1bENTIFYING NUMBER OF ASSESSMENT
(o ) (b) (c ) id ) (e)
I l01~0 12-31.~68 5-1b-69 211-]~8-1tti08 290.15
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PI.ACE OF FIIINC ~
St.~ L11C~A COL1I1~ TOTAL S 2~~~
~ ~i• ~92`C8~ F18•
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WITNESS my hand ot y~•+_;__._~~.~-P~gch~~c~3~~ on this,:
ths~_dq of Oetober ,19~Q,_ ~
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SIGNATURE ~ - TITLE .
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(fIOTE: CtrH}ico~~ oE ollie~r Ovthaiqd `y lew ~O fal[~ KkMwl~dyMnfs is nof ~ss~Mie) ~O /M vs:idihr ~f NNie~ ~i F~~el ex Lilu~ G.CaA. j
26t19, C.B. 195pS1. 125.) 1
~ART 1-•To b~ ntoin~d by ncordin~ oHic~
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