HomeMy WebLinkAbout0965 Foru~ ~6 U. S. TREASURY DEPARTMENT - IHTERN~L REVENUE SERV~CE Fo.Op~o.w/UseOzRecad.nyOr. :e
REV.8-67) NOTICt Of iEDERAI TAX IIEN UNDER INTERNAL REYENUE IAWS
DiSTRICT sERiA~ No. FILEO AND RECORDED~
JACKSCNVIi.L~ S?. LUCIE COUNTY. FLA.
Pursuant to the provisions of Seetions 6321, 6322, und 6323 of the Intecnol Reve- ~~'.CORn ~TFRIFIED
nue Code, notice is hereby 9iven thot there F+ove been ossessed under the internal ~Q~~~j~
Revenw lows of the United Stotes ogoinst the following-nomed to~cpoyer, ta:es v i v
(includiny interest and penalties) which after demond fw poyment thereof remoin oEC ' ~ $'~O
unpaid, a~d thot by virtue of the above-mentioned statut~s the amount of said taxes,
toy~ther with penolties, interest, cnd cosfs thot moy oecrue in addition thereto, is ~l~
o lien in iovw of the United Stotes upon oll property ond rights to property belong- T
in9 f0 SOid faxpOyer. 't~J~ r' Q~ 1~s~
CLERK CtRCU1T COURT
rdAME OF TAXPAYER
OTIS AI~ FIAR~:ICE ttrGGE.rt5
kESIDENCE
61+11 SOU'i'H IIdDIr~Ai ItIV~:t~ ~R1VE
FUtt"f P3~,RC~, FLORIDA 33k50
CLASS O~ TAX UNPAID BALANCE
'Tox Return Form No.) PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
~ (o ) (b 1 (c ) (d ) (e I
j lO~WD 12-31-6B 6-Ob-69 339 16-7 5 1,144.17
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C~..~jC~ CIRCUIT COURT TOTAL S1~11~L~•17 '
ST LIJCIE COUIdTY, FORT P~Cr., FiARIVA
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'N~TNE55 my hand ot F~~IDA on this,.
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- lNOT : C~.~i(icot~ ol o1Fic~r o~thori:ed br low to foks otknowl~dgments es not ~ss~ntiol to rF~ .aliditr oF Notic~ ed~rol To: Lien G.CJYI. ;
16119, C.B. 195051. 125.) ~ R~81 ~E ~
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PART 1-To be retained by recording office ~
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