HomeMy WebLinkAbout0964 r
~
. • ~
Foriu 668 U_ S. TREASURY OEPARTIAENT - IHTERNAI REVENUE SERVKE Fw OM~ae~l Ux er Recad~wy pl.ce
p
(REV. &67) NOTICE OF FEDERAL TAX LIEN UNDER INTERNAL REYENUE tAwS
DISTRICT SERIAL NO.
Jacksonville Florida LED AND RECOROEO
Pursvant ro the provisions ol Sections 6321, 6322, ond G323 0l the Interno) Rev~- S, LUCIE COUNTY. FLA. '
nue Code, notice is herebr given thot ther~ have been assessed under the interno) f?F.C~~1: V~Ri~'~ri
Reveny~ lows of the Unit~d Stotes agoi~st th~ followiny-nomed toxpayer, tax~s ~~~oO
(includiny int~rest ond penolties) which after d~mond fw poyment the~~of ramain
~npoid, ond thot by virtue of the above-mentioned stotutes the amount of said toxes~~o AN I 9 PM '~~+0
toyetft~~ with penolties, inter~st, ond cosls thof nwy accrue in addition the~eto, is
o lien i~ fcvo~ o( the United Stotss upon otl p~operty ond rights to property belong- L ~
in9 to soid toxpoyer. ~
NAME OF TAXPAYER NUGE.?' PO1~ AS
O.Z. BAn.~ C ERK CiRCU1T COU T
RESIDENCE ~ -
611 N. 9tt~ st., Ft. Pierce, Fiorida-33450
CLASS OF TAX tJNPAID BAIANCE '
(Te: Return Form No.) PERIOD ENDED ASSESSMENT DATE 1DENTIFYING NUMBER OF ASSESSMENT ~
(a 1 Ib1 (c ) (d? (e)
; 1040 12-31-67 9-5-69 258-52-2654 194.72
~ 1040 12-31-68 9-5-b9 25$-52-2654 233.82
~
~ ~
~
~
~
PLACE OF FtLING e ~ C LlY'
St.. Lucie C,O1iZlt,y TOTAL S ~8~5~ ~
~ Ft. Pierce~ Fl,a.
3]
S
~
W17NE55 my hand at West Palm Beach. Florida , on this,.
~
the~5~ _day of Jatn~rv ,19 70
~ ~
s
51GN , ~ TITLE ~
~ ~ aroup Supervisor `
ZLo~ss C. Gr ~
~ (NOTE: C.ntf~car. of offac•r a~+iwri:•d br lo.+ ro rok• ocknowl.dyT•ras is not ~ss~ntiol to tM vol~dity of Hotie~ d F~d~.ol To: li~n G.CJ~I.
~ 26119, C.B. 195051, 125.)
~ gooK182 ~,~E 9~i2
~ PART 1 To b~ ntain~d by ncording office
~ . ~
~ ~ = = , ` ~
~ z ~ ' _ ~ ~
~LL~`°~~~.3-~n~~~ .~..e,F-~a..v . _ ,~,_.-~.~ti~,
~