HomeMy WebLinkAbout1876 Form 668 U 5 TREASURY DEPARTMENT - iNtERN~~ aEvEHUE 5: e: ~CE Fa Oye.orql Use B~ Recad~.~g Ol/~cc
~e~. a-s~ iiOlitE ~F fE6~itA? TAX tIEM ilN~~~ iNif~i~Ai K~r~NUt uws
DISTRICT sErtiA~ No. FII.ED AND RECOROED ~
Jac~sonville Florida ST. LUCIE COUNfY. FLA.
P~rs~on+ ~o +1+e p.~..~s~~ns Sect~ons 6321, 6322, ~nd 6323 of ~hr !nterral R,,,-. r`~nR[~ VERtFI~Q
nue Code. notice is herebv oiven thot there hove been ossessed under tF,e I~rer~ol 1$~~
Revenue laws of the United Stores o9oinst the following-named toxpoyer, toxes C(~ O[~ 12 PM 0~
(including inte?est ond penolties) which ofter denand for poyment thereof reTOin 07 C •
unpoid, ond thot by v~rtue of the obove-mentioned stotutes the amount of so~d texes,
togeth~r ~ri~h penoities, interest, ond costs thot moy occrue in odd~tion the~eto, ~s
a lien in iovor of the United Stotes upon oll property a~d rights to property belong- iinu[Fi ?0lTRAS
~~9 to :o~a ~ax~y~.. C~ERK C{RCUIT COURT
NAME OFTAXPAYER
WILLIE C . PO?VT;Lft
RESIDENCE _
1607 N. llth St.~ Bldg. # 1~ Apt. 12~ Ft. Pierce~ Fla.-
CLASS OF TAX UNPAID BAIANCE
~Tox Return Form No_i PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUFABER OF ASSESSMENT
fa ) ~b ) (c 1 id ) (e )
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~ 1040 ]2-31-68 6-27-69 47b-58-?356 1,233.9?
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~ P~ACE OF FILINGC G'1'~C~ Circuit Court .
~ $'t. Iucie ~,OL1I1t.31 TOTAL s 1,233~9~
~ Ft. Pierce~ Fla.
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~ WITNESS my hand at ~g,at, Palm g~;arhT arirla , on this,.
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~ r~,d~~day of December ,19 69
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SIGNA RE TITLE
Group Supervisor
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(NOTE: Certiliwre of ofFic~r outhori:~d by low to toke ocknowledym~nrs is not ess~ntiol ro th~ volidity oF Notie~ of Faderol To~ Lisn G.C.M. ~
26119, C.B. 195451, 125.) O R~81 Q~[18~7 t
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~ PART 1-To be retained by recording office -
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