HomeMy WebLinkAbout0942 Form 668 U. S- TREASURY UEPARIMENT - iNTERt+~~ REvENUE sErtwCE Fv Oo~~ar~ Use Br R«vd~~q Of1~ce
!REV. 8•67) NOTICE Of fEDERAI TAX IIEN UNDER INTERNAL REYENUE IAWS
DISTRICT SERIAL NO. F) D AND P,ECOROEDI
J~~~~ ~~„~,i,~ ST. UCIE COUNTY. FLA:'
~ .GORD VERIFIED
Pursuont to ths provisions o~ Ssc~ions 6321, 6322, ond 6323 0( the Internal Reve-
nue Code, ~otice is hereby given thot there hove besn ossessed undsr the (ntRrnol ~~8~ ~
C~
Revenve lows of the United States ogoinst th• following-nomed to:payer, t~ ~
(including int~rest and penolties) whieh ofter demond for poyment thereo( re ~
u~poid, and that by vireue of the above-mentioned srotutes the omount of soid toxes,
toget#r~r witl+ peno~ties, inter~st, end eests the~ ~nay aec+ve in eddit~on the~eto, is -
o lien in iovw of the United Stotes upon oll property a~d rigF~ts to property belonp- QGE~ 'OITRAS r~.
~~9 to :a~a ~ax~y... K CIRCUIT COURT'
NAME OF TAXPAYER
0~!'~i~/ i~ Ti11R
RESIDENCE
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~Ol'tr ~t1'O~ ~'~!'j~t _ _ - -
CLASS OF TAX UNPAID BALANCE
lTo: Retur~ Form No.) PERIOD•ENDED ASSESSMENT DATE 1DENTIFYING NUf~fiBER OF ASSESSMENT
(o ) (b ) (c 1 (d 1 (e )
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~ - Lp]ap 12~31-68 6-6-69 2~-22-9863 ~1T0.30
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PLACE OF FItING C~~~ Ci~p~t Clti~
St.~ I~~ C~Yf~j ' TOTAL S 1T0~3O
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- WITNESS my hond ot wst pa~ B~~a , on this,
the~~ doy of ~'P~a' ,19 ~
~ SIGNATURE . TITLE il
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~S Ci• (~~LfE~ i ~i
ODP $Bp~R1R.~30~R
(NOTE: C~rtificate of oflic~r a~~h«i:~d by lov+ ro to4~ ocknowledgmen~s is nor •ssenr~ol ro tM .ol~d~tr of Na~c• of F~derol To~ Li~~ G.C.M.
26119, C.B. 195P51, 145-) ~~K~~~'f ~ ~,A
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PART 1-To be retained by recording office • .
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