HomeMy WebLinkAbout1780 Form 668 DEPAR?n~ENT Of THE iRfAR:RY-I+~iERN~t QEVFNVE SFRYKE for Gp?,ono~ Use 8y +Rem+dmg Offce
~eEV. ~-io~ NOTKE OF FEDERAL TAX LtEN UND~ INTERNAI REVENUE LAMVS FI~EO i6N0 RECOROE~O~
DISTRICT SERIAL NUMBER ST. WCIE COUNTY. ~L{l,-'
Jackaonvills Florirda RFCORD VERIFtCO
Pursuant to the provisions of Sections 6321, 6322, and 6323 of the internoi Reve-
nue Code, notice is herebr given that there have been ossessed under the Internal M `
Revenue laws of the United Stotes ogoinst the foifowing-nomed taxpayer, toxes (includ- ~O ~4I ~ i Z3
ing interest and penalties) which aher demond for porment thereof rertwin unpe~d. and ~
thot by virtue of the obove-ment~or.ed stotutes the emount o4 so~d taxes, toge!her with ..~~~~!'~c'j <<
penalties, interest, and costs thot may acc~ve in oddition thereto, is o t~en ~n favor of ROGER ~OITRAS
the United Stotes upon al{ property and rights to prope~fy be!onging M soid taxpayer. C~R1( L`~Fj(,?()IT C~URTi
NAME OF TAXPAYER
piABIDA JOBB~iS i1H3E. s Il~. s
RESIDENCE -
13~A D~La~fir ~~s ~ ~
ForL Pies'ae ~ F'3~ridi-33450
UNPAID BAIANCE
j KIND OF TAX TAX PER10D ENCfD ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
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~ 9-1]tT0 59-121b627 511.L6
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" PIACE OF FlLING C~lTh~ C~I'C'~1tr
; 8~ ~1i TOTAL S
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~ WITNESS my hond ot Wat paL H~aod~ ~l~arida , o~ ~,~s,
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aoas . Graves !
~.~z (NOTE: Catificate d ofFicer outhorized by bw fo t~~ ocknowledgm~nls ~s nd esfsnfid b th~ vd+dir of Ndi li~n ~.Mr.
- ~~i9. C.B. 1950-51, i~s.~ BOOK ~PACE~
~ART 1-To b~ rNain~d br ncor~np olRu
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