HomeMy WebLinkAbout0964 Form ad6 l;. S. TREASURY DEPARTAIENT - INTERNAL REVENUE SERVICE Fw pyr~o~al Use Br Record~nq 01/~ce
1REV_ 8-67) NOTICE Of fEDERAI TAX IIEN UNDER INIERNAL REYENUE IAwS
DISTRICT sERiA~ No. ~~Ep AND RECORDED
Jacksonville , T. ~UCiE COUPJTY, Fl~.
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Pu~svant to the provisions of Sectio~s 6321, 6322, and 6323 of the Inter~ol Reve•
nue Code, notice is hereby given thot there hove been ossessed under the Internal 18628s ~
Rsvenw lows of the United Stotes ogoinst the (ollowing-nomed toxpayer, taxes . ~j
(including interest ond penalties) which ofter demond for poyment thereof re:iwin ~~9 ~^r ' ~U'~ ?•"O
unpoid, ond that by virtue of the obove-mentioned stotutas the amount of said toxes, ~ G'~
to9eth~r with penclties, interest, ond costs that moy occrue in oddition thereto, is . ~
a lie~ in iavo? of the United States upon all property and riqhts to property belong- ..~i.;.;; ~:~1' ~?I~$
~~9 ~o:a~d tax~ye.. 4~RK CtR~UI'f~COURT
NAME OF TAXPAYER
Frank Waldro
RESIDENCE
2506 Acron St.
~`t, Pierce F1. 3345~
CLA55 OF TAX UNPAID BALANCE
{Tox Return Form No.) PERIOD ENDE~ ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
~a ) ~b ) tc ) !d ) te )
i 1040 12-31-66 5 3~-b9 Zb3-~-~971 $535.97
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~ PLACE OF FIUNG CIRCUIT COtJRT
ST. I.UCIE COUAITY TOTAL s 535•~T
FT. PI'r~tCE, FLA.
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~ ~ITNESS my hond ot l~ ~a• , on this,.
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~ the 24tt? dq of November ,19 69
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~ SI,r,NATURE TITLE "
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~ Chief Office Group
~ {NOTE: C~rtilicote of off;e~r outhori:~d by low to tok~ o<kno••l~dym~ros is not ~ss~ntiol to tM volidi?r ef No~ic~ oF F~derol Te: Lien G.C,lil:
~ 26I19, C.B. 195P51. 125.1 g~~~
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~ PART 1-To be rotain~d br recordin8 offic~
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