HomeMy WebLinkAbout1159 ~ - - - _ - _ ~ - ~ _ . - -
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~ Fo~ 664 U, S. TREASURY OEPARTMENT - INTERNAL REVENUE SERVICE Fo. ~ ~
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DISTRICT SERIAL NO. F ED ~N~~ ~EGORDED
Jaata~i~i13+~~ !]~3~is Jn~NT~~F~.A-
• ~ ~ LUCIE ~
, Pwsuont to the provFsions ot S~dions 6321, 632~, and 6323 of the Interool Reve- ('f~~'.~Q~~ J J' ~
nue Code, notic~ is h~redy give~ that tF~sre hove b~~n ossessed und~r the Internol ~
R~venw lows of the Unit~d Stot~s o9oinst the ~ollowiny-named taxpoysr, toxes
(includin9 int~r~st ond p~~olti~s) which ofter dtmond for poyment ther~of remoif71~ ~t~~; Z' P~ 2~; I ~
unpaid, ond thaf by virlw o! th~ obovs-m~ntion~d stotut~s the omount o1 said tox~s,~ u
topeth~r with p~nalti~s, int~~tst, aod costs tFwt rtwy accr:;a i~ ad~itiaa thsrato, is / ~
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a lien in fava of tM United ~tates upon all prop~rty and riyhts to property belonq- ~ .r .
iny to soid mxpoyer. ?Q! ~ R:•S
NAME OF ZAXPAYER =RK IRCti1i~ COURT
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RESIDENCE
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CLASS OF TAX UNPAtD BALANCE
(Tox R~turn Fwm No.) PERIOD ENDED ASSESSMEFIT DATE IDENTIFYING NUMBER OF ASSESSMENT
~b) (c) (dl (e)
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PLACE OF F1UNG ~ ~~i! ~
~ C~~ TOTAL S
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; WITNESS my hand ot 1i1rt ~iial~ 4aeb~~dt , on this .
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the~~_dq of J~r____~_,19 iA
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SIGNA R TtTLE
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MOTE: C~rtiflco» to tsk~ xknvwl~~nems ts net ~ss~nti~l te tl» ~elidiryr el Noticwof_F• ~r~t Tac Li~n G.CJiA.
~19, C.B. 19Sd51. 125.) 6~~~A
p,~22~7 :
PART 2
To be nceipt~d cn~d rotumed fo fhe Int~mal R~v~nu~ S~rviu '
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