HomeMy WebLinkAbout2880 Fern 668 U. 5. TREASURY DEPARTMENT - iNTesH~~ aevFHUE sertvieE Fo, pp,ono! lise Br Rrco.d:wy Oe :e
iREV.8-671 NOTICE Of fEDERAI TAX l1EN UNDER INTERNAI.REYENUE IAWS
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DISTRICT SERIAL NO. ~ $ : p~~~~j~:~A:,
JACKSOHVILIB, FLOBIDA _ ~f.CORD V~RIFIFn
Pursuant to the prov~sions of Sections 6321, 6322, and 6323 of the ~~t~.~o~ R~~~_ ~92U2S
nue Code, notice is hereby given thot there have been ossessed under the Irtternal
Rsve~~e lows of the United Stotes agoinst the ~ollowing-named toxpoyer, taxes 'TQ APR a~~ ~9
(including interest ond penalties) which ofter dsmond for poyment thereo( re:noin
u~poid, and thot by virtue of the above-mentioned stotutes the amou~t of soid toxes, t.~.~
togather with penolties, interest, and costs that moy occrue in oddition thereto, is
o lien in favor of the United Stotes upon all property and rights to property belo~g- ~4e~f~''~~~R~S
c~9 ~o :a~d tax~y~.. Ck~RK~C~RCVIT'OdpRT}
NAME OF TAXPAYER
Hany b Lucille Johnson
RESIDENCE
512 North 16th StrQet
Fort Pierce, F2orida 33450
CLASS OF TAX UNPAID BALANCE
(Tax Return Form No.1 PERIOD ENDED ASSESSMENT DATE IDENTlFYING NUMBER OF ASSESSMENT
(o ) (b ) (c ) id ) (e )
1040 Income 12-31-68 5-2•69 264-03-0045 $ 176.65
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~ PLACE OF FI~ING
~ C18rk, Circuit Court TOTAL S 176.65
St. Iucie Countq
Fort Pierce, Florida
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wITNESS my ha,d ar Ne~t Pals Beach, Florida
, on this,.
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: The~_doy of ~ril ,19 70 .
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SiGNAT ~ , TITI.E
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~ THO!!AS C. GRNVES ; GROUP SUPEBVISOR
(NOTE: Cert~ficore of o(fic~r o~thorie~d by law ?o to4e acknowledyme~rs is not issen+~ol to ~M ~al~d~ty of NW~c~ oF Fedc.al To: L~on G.C.M.
26119. C.B. 195o-51, 125.) Q
aooK 183 PACE 2p ~
PART 1-To be ~etained by recording o.fice
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