HomeMy WebLinkAbout0704 Form 668 U. S. TREASURY OEPARTMENT - o+TEaH~~ aEVEnue sErtv~CE Fw Op~owl Us~ B~ Recad~nq Wl~ce
tREV. &67) NOTICE OF FEDERAI TAX l1EN UNDER INTERNAL REYENUE IAWS FILEO AND RECORDED
DISTRICT SERIAL NO. S7, LUC1~ COUN7Y. FLa.
Jacksonville~ Florida ,~.CC~R~ VFRI~?~'C
Pu~suont to the provisions o( Sections 6321, 6322, ond 6323 of the Internol Reve- +W~OV
nue Code, notice is F~ereby given thot there hove deen ossessed under the interno) 9 NOV 24 PM oJ ~
Revenue (aws of the United Stotes agoinst the lollowing-nomed toxpayer, toxes ~
(incl~ding interest ond penolties) which ofter demond fw payme~t thertof remoin ~
unpoid, and ttiot by virtue of the above-me~rioned stotutes the amount o( soid toxes,
toQeth~r with penolties, inter~st, ond costs that nay accrue in oddition thereto, is ~D~~F? 'OITR~S
o lien in fovor of the United Stotes upoe oll property and rights to prope~ty belong- CL~RK CIRCUI7 COURT
ing to said toxpoyer.
NAME OFTAXPAYER
~taA~ P. & ~x~~x.a B, cort~~ox, ~x.
RESIDENCE
Route !t, Box l~77B~ Ft. Pierce~ Florida-33b5o
CLASS OF TAX UNPAID BALANCE
(Tox Return Form No.) PERIOD ENDED ASSESSMENT OATE IOENTIFYING NUMBER OF ASSESSMENT
(a? ~b ) (c ) (d ) )
I
ioi~o i2-3i-68 5-7.6-69 2i9-12-4546 341•45
PLACE OF FILING @ ~ Y'Ctll O
~ $t. Lucie COaYlty~ TOTAL S 3~11~115
~t. Pierce~ Florida :
~ .
~
~ ~
~ Florida
~ WITNESS my hand at West Palm BeaCh, , on this,.
~ 19 69 :
rhe_2i2t.~day of Nove r ,
~
~ 5lGNATURE TITLE
~ Group Slipervisor
~ T6omas C. Gra~ea .
:
(NOTE: C~rtificot~ oF offiur aurhori:ed by low ~o ~oke ocknowled9m~rns is not ~sseMiol to the volidiry o( Ndic~ of Ftdrol Tox Li~n G.C.M.
z i
s~~9, C.B. 195P51, izs.~
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° R 18~ ~E . ?~4 ~
PART 1-To be retained by reconling office g00K
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