HomeMy WebLinkAbout2194 Fonn 6b$ U S- TREASURY DEPARTMENT - Ir+TE~N~~ REv[HUE SERV~CE fw'Jpr,~lUseByRecord•rgQr e
~REV.B•67+ NOTICE OE fEDERAI TAX l1EN UND~R INTERNAI REYENUE IAMrS
~!STRICT seaia~ No. FILEO AND RECORDED':
ST, IUCIE COUNtY, FIA.
JAC~S~LYILii c~c CORD V~RIF'ED
Pursuont to the proviaions of Sections 63~1, 6322, o~d 6323 of the Interno) Reve-
nue Code, notics is hereby given thot there have b~en assessed under the (nternol 19~~i
Revenw lows o( the Un+red States ogoinst ths (ollowing-nomed toxpoye~, toxes f O O~~ ' p pV ,1 ~ O~`
(includin9 intsrest ond pe~olties) which o(ter dernond lor peyment thereof remain 7 f17 `t • V ~
u~poid, ond thot by virtue of the obove-ment~oned statut~s the amount of said to~es,
toyethtr with penalties, interest, ond costs thot moy atcrue in oddition thereto, is
o lien in iovor of the Unired Stotes upon oll p~operty ond rights to property belo~g- ~i~i1~R !'01TRA
~~9 ~o said ~ax~ye.. CIERK CIRCUIT COURT'
NAME OF TAXPAYER
~TOi~I~I~i N• dt ~I.$AMQS ~
RESIDENCE
P. O. BOIi 1112
Fo~tT PIERCE, 1~L. 33~50
CLASS 0 TAX UNPAID BALANCE
~Tax Return - orm No.l PERIOD ENDEO ASSESSMEr1T DATE IDEN?;FY:NC, NUMBER OF ASSESSMENT
',I (a ) _ ~b ) (c ) _ _~d ) (e )
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; 1W,~0 12-3]~-67 06-12-70 265-~40-5158 1,494.72
i 1040 ?2-31-bb Ob-12
70 265-~44-5156 427.33
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MOTE: C~rrfii oF oflicer outhwi:~d by low ~o tok~ ockn~..f~dyrw~ms ~s no~ • ent;ot eo NN veli~iti NMiu ~ fd~r~l w~ L{~w G.C.M.
~ 2M19, C.B. 1 S1. 125.)
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PART 1-To b~ r~tai~~d br ncording offic~
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