HomeMy WebLinkAbout1778 Form 668 DEPN2TMENT Of iME TlEASINtY-MTEW/LL REVENUE SERYKE For Opnonol usc Br Re~o.dr~g Of6ce _
~REV. ~-~o~ NOTKE OF fEDERAI TAX UEN UNDER iNTERNAI REVENUE IAWS !~p-~AND REC
DISTRiCT SERIAL NUMBER . WC~E COUNTY. F~.A..
Jaoksoasill~ lLrida RFCOR~ VFRIFIED
Pursuonf to the provis+ons of Sections 6321, 6322, ond 6323 of the Inter~al Rev~ a"
nue Code, no~ice is hereby g~ven thot the~e have been ossessed under the Internoi~~A Of~T g~(~~'
Revenue lows of the United States ogoinst the following-nomed toxpoyer, taxes (includ-
ing interest ond penalties~ which aher demand for poyment thereof remain unpaid. and ~~4=~--1~
that by virive of !he above-mentioned statutes the amount of said tuxes, togefher with
penalt~es, inte~esf, ond costs that may accrue in addition thereto, is a lien in fovor of ROGER POITRAS
the United Stotes upon oll properfy and righh to properly belong~ng to said taxpover. LERK CIRCUIT COURT~
NAME OF TAXPAYER
JA1~S d~ MARZ ~A1R~?~8
RESIDEN~E 8~
~'t~. Pierce~ FLori.dr~331S0
UNPAID BALANCE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIfY1NG NUMBER OF ASSESSMENT
(o ) {b) (c ) (d ~ (e~
t lotac~ ~2-31-69 5-29-To 2;~-12-5400 323•T9
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~ PIACE OF FIUNG Clel'ki Ci='CVd.t COn?Tt
3~~ IAIC~~ COUIIfi~ TOTAL S~3~T9
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WITNE55 mr hand ot ~i'~ pil~ BO`Q~li ~t'~dt , on this,
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~ SIGNATURE TTTLE
Thooas C. ravas
~ (NOTE: Certificde of o1Fic~r ovthorized by law ro tokt acknowledpmenis ~a ase~?~d ro rhe ~a~~diy o( Noti ~~ax~~~
26419, C.B. 19S0-Sl, 125.)
PART 1-To b~ ?Nair~d bp r~cord'inp oAk~ .
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