HomeMy WebLinkAbout0959 Form 66~ U. S. TREASURY DEPARTMENT - inTERN~~ REVENUE SERVKf Fw Op~owel Use 8y Record.rg Ol~ -e
(REV.B-671 NOTICE OF fEDERAI TAX IIEN UNDER INTERNAL REYENUE IAWS
DISTRICT SERIAL NO. ~ p~~ RECOROEO
Jacksonville Florida
' L'Ci~ ~6UNtY: FLA.
Pursuoet to the p~ovisions o( Sections 6321, 6322, and 6323 of thc Internol Reve- =^f`~'n V~~~-!~~J
nue Code, notice is hereby given thot there hove been ossessed under the Inte~nal ~~~)Q ?
R~venw laws of the Unifed Stotes agoinst the following-nomed taxpoyer, toxes +~01
(i~cluding interest and penalties) which ofter dsmond (or poyment theraof re I ~ ~i ' So
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unpoid, ond that by virtue oI the obove•mentioned stotutes the omount of soid toze , ' '
togetl?t~ with penolties, interest, and costs thot moy occ?ue in addition thereto, is
o lien in fovw o( the Unired Stotes upon all property ond rights to property belong-
ing to said ~ax~,,e.. ~.n'=:'=f ~ OITit%.S
NAME OF TAXPAYER i <K C:F~UIT COURT
HILLI:~RD L. & BOB9IE J. JOH~~SON
RESIDENGE
3l~12 Sloan Rd.~ Ft. Pierce~ Fl~ida-33lt50
CLASS OF TAX UNPAIU BAIANCE
(Tox Return Form No.) PERI00 ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
~a ) ~b ) (c I (d 1 (e 1
' iol,o 12-3i-59 5-i3-b9 4i7-l~a18~ 282.99
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PLACE OF FILWG C16~IC~ C~Y'CUlt OL1I'
- St. Lucie County 282.99
Ft. Pierce~ .~']a• TOTAI s
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~ WITNESS my hand ct West Palm Beach. Florida , on this,. ~
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~ the~ttLday of ,19 Ei9
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~ SIGNATURE , TITIE
~ vf (}ra p Supervisor
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TE: C~rtificote of o(Fic~r outhori:ed br low fo • octenowledymems is not ~ss~ntiol to tM voliditT oI No~ic~ eF F~d~ral Taa L~~~ G.CJiA. ~
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s~i9, c.e_ i9sasi, izs.~ . ~ ~ f~ ~ ~
600lI ,
x PART 1-To be retained by recording office
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