HomeMy WebLinkAbout2870 Fonn 668 U. S. TREASURY DEPARTMENT - iNTEan~~ REVEnuE SEav~tE Fo. Op,oesl Use B~ Rec«d~.~y dl.ce
(REV. &6)) NOTICE Of FEDERAL TAX LIEN UNDER INTERNAL REYENUE lA1NS
DISTRICT sEttiA~ rto. L.ED AND REGORDEO~
J~~o~~ S IUCtE COUN7Y. FLA.
R~CORn V~qi~l~r~'
Pursuont to ~he p~ovi:ions oi Sections 6321, 6322, ond 6323 of the Internol Revs- ~n~~ ~
nve Code, notice is he~eby given that there hove been ossessed u~der the Int:rnol
Revenve lows of the United Stotes uyoinst fhe followin9-named toxpayer, tox1~J
(including interest ond pe~alties) which ofter demond for poyment thereof remoi~l O PR 9 PM 7
unpaid, and lhot by virtue of the obove-mentioned stotutes the omount of soid taxes,
toyetb~r with penolties, interest, und costs tlwt nwy accrue in addition thereto, is
o lien in iavw of the United Stotes upa+ oll p~operty and riyhts to property belonp- ~e17,:~~ ~OfTR~S
~n9 to so~d taxPoy~r. CL RK CIRCUIT COURT
NAME OF TAXPAYER
Stsw D. John~sn
RESIOENCE
~0 D~ZiYa~ 11rIW~e
~OY'tr ~.~TOA ~OI'~di .
CLA55 OF TAX UNPAID BALANCE
(Tox Return Form No.) PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
(a 1 (b 1 (c 1 (d ) (e )
i
~ 941 3-31-,68 6-20-69 59-1147329 i~175•4?
! 941 12-31-~ 11-14-b9 59-111~7329 93•04
~ 941 3-31-69 8-15-69 59-1147329 22.06
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Sti~ L1iC~A C0~11i1Lj TOTAL E '
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= WITNESS my hand at , ,
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~ the 8~ day of ~P~1 ,19 70
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SIGNATURE • TITLE
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TH~IA3 C. t~RAV~S C GRUUP 3UPS8VL90~
~ (NOTE: Grtificot~ o( of(ic~r outFwri:~d by low to tok~ acknowl~dymems is not ~ssenrisl to th~ votiditr o~ NMic~ o( F~d~rol Toa Li~n G.C.M.
Z6119, C.B. 195451, 125.)
~p 600K 183 PACE ~S V7
PART 1-To be retained by rocording offic~
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