HomeMy WebLinkAbout2395 Forw 66S U. 5. TREASURY QEPARTMENT - u+TErtw?t aEVEnuE. sErtv~CE Fw ooe,ono/ Ux By R«wd~.g OH~ce ;
fREV. &67) NOTICE OF FEDERAL TAX LIEN UNDER IN~ERNAL REYENUE lAwS =
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DISTRICT sERU~ No. FILED AND RECORDEO ~
JACL90~IYIIZ.S ST. LUCIE CnUNTY. F~A. .
Pursuont to the povisions of Sections 6321, 6322, ond 6323 of the Intemot Reve- ~Q?~? ~IE':~l~'!?'(;
nw Co~s, notice is hereby given tlwt ~h~r~ hove bten ossess~d under the Internal ~QA
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R~vsrtw lows of tht United Stotes agoinst the followinp-named toxpayer, taxes V~~ l!~
(including inr~rest and penalties) which ofter demand fw poyment thereof remain ~ro FCD 9 Pf~ O~
unpoid, ond thot by virtue of the obovs-m~ntion~d statut~s t!?~ amount of soid toxes, C~ '
topeth~r with p~nalties, intersst, ond costs thot nwr accrw in addition tMreto, is
o li~n in fovw of the United Stotes upo~ all p?op~rtr ond riyhts to property belo~y-
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inp to soid toxpoysr. C~~RK Cif~~L11' COURT
NAME OF TAXPAYER ~ B ~ ~
RESIDENCE p O B~ • ~
P? P~CB lrt~ _ 33~5~ - -
CLASS OF TAX UNPAID BALANCE
(Tax Return Fum No.) PERIOD ENDED ASSESSMENT DATE I~ENTIFYING NUMBER OF ASSESSMENT
(a ) ~b ) (c ) (d ~ (e)
~
1dw 1~3~67 aT-os..68 26~0~0613 1.595. d~
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PLACE OF FILING Q~.~~ ~t •GOZI~„t ±
3~ L~cis C01V1~ TOTAL S 1•595~~
Irt. Pierce. P1a
l~IIAffi, 1~I~A t
WITNESS my hand ot , on this,. ~
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4tb l~ebi'uar~ ?0 ~
the doy of ,19 ~
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SIG UR TITLE - ~
C~, OFFZCE GRO~P g
MOTE: ~rtificote o( off~c~? o~thori:~d by Iw ?o toke ockno.•l•dys~ras is not ~ss:Miol to tl+~ ~ol~d~~r o( Nor~c• d F.d•rel Tex Li~~ G.~,aA.
26l19. C.B. 195451. 125.) 6~ •
PART 1 To be rMain~d by reconlin~ bffice ~
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