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HomeMy WebLinkAbout0195 ferm 668 U. S. TREASURY DEPARTMIENT - ~kTEaN~~ aEVENUE sEaviCE F« Op~awl Use By R«o.d.+y Or~~ce iREV. &67) NOTICE OF fEDERAt TAX LIEN UNDER lNTERNAt REYENUE LAwS DISTRICT SERiAldJO. • FILEO ANO RECOROED~ Jacksonvill ST. LUCIE COUNTY. FLA. ~ R~:CORD VFRif~ED Pursuont to the provisions of Sections 6321, 6322, ond 6323 of the Internol Reve- nue Cod~, notice is hereby 9iven thot thsre hove baen ossessed under the Interna) ~J~~J~7 R~venw lows of the United Stotes o9oinst the following-nomed toxpoyer, toxes ,Td ~~N 9 PM C• ~8 (includiny interest o~d penalties) which afte~ damond for poyment thereof ~emoin unpoid,.ond thot by virtue of the obove-m~ntioned stotut~s the omount of said toxes. toyeth~r with psnolties, intereit, ond costs thot nay occrue in oaditio~ thereto, is ~t' v o lien in favw of the United States upon ol) prope~ty and riyhts to P.o~.~y beio~~- itOGEr~ ~OITRAS i~9 ~o sa~d toxPare~. CLERK CIRCUIT COURT: NAME OF TAXPAYER RESIDENCE 905 Jackson Way 0 0 ClASS OF TAX UNPAID BALANCE (Tox Return Fum No.) PERIOD ENDED ASSESS(iAENT DATE IDENTIFYING NUMBER OF ASSESSMENT (o ) Ib 1 tc ) (d ) (e ) l040 53~ u-?-69 59T 5138-70 3.~3.~ PLACE OF FILING Clerk. GLY'CLt~t COM1I=`t TOTAL s 3.~3•~ ~t. Lucie County Ft. Pierce. Florida WITNESS my hand ot , on this, the~_doy of June ,19 70 SIGNATURE TITLE - , C~Af ~~CA ~'011 (NOTE: CertiFicoq o( of(ie~r outhpit~d by o.r to ~ok~ ocknov.ledymeMS is not ess~nfiol to th~ voliditr oF NMite~f~l'y~erol Toa Li,n~. x~~v, C.B. 195o-51, i~s.~ " " BOOK Zxii PACE 1 PART 1-To be ntained by rocording offite - - _ - . _ ~