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HomeMy WebLinkAbout0985 _ _ . ~ ~ /p~ U. S. TREASl1RV ~EPARTMENT - INTERNAL REVENUE SERVKE F~. O~wl Ua. 8r R~car~l.u~ ON.c~ ~ ; ti~ev ~:-en NOTICE Of FEpERAI TAX IiEM UNpER INTERNAI REYENUE IAwS DlSTRICT , SERIAL NO. . ~ R 194493 B-185 P-370 RE~~ ~At~~~,~,~ Pu~suont to tM p~ovisioes of S~ctions 63'll, 6322, ~nd 6323 oi tlw Int~rnal R~v~- nw Cod~, notics is hfr~br yiv~n thot th~~~ hav~ be~n oss~ss~d w+d~r th~ Int~rno) ~~~~~o R~v~nw bws of th~ Unit~d Srot~s oyoinst tM foilowiny-~w~d wxpoy~r, tox~s (inciudi~4 inNr~st ond penolti~s) which oh~r d~wwnd for poynNnt th~r~of r~nain 'n~OCO unpoid, ood tha~ br virtw o( th~ oAov~-m~ntion~d sMtut~s tl~~ oraount of soid tox~s, v toy~th~r with p~nolti~s, int~rtst, ond costs thot nwy ocerw in oddition tMr~to, is ~~~yt~,(,(,~- ~ e li~n in lovw of th~ Unit~d Stot~s upon oll propsrty ond riyhts to prop~~ry b~lon9- iny to soid toxpoy~r. NAME OF TAXPAYER • ~ , PEl`E8 S. HO~~PB ' RESIDEkCE $oats 1, Boz 150 Fort Pi~rc~, Florida 33450 UNPAID BAIANCE TAX FORM NUMdER PERIOD ENDE~ ASSESSMENT DATE IDENTIFYING NUMBER ~ OF ASSESSMENT (01 ~b! (c ) (d ) s ' 941 iiithhQldiag lZ•31•61 1-8-65 65 4 295006 ~ 838.69 ; t ~ 941 Withholding 3•31•62 1-8-65 6S 4 295004 1,619.94. ~ i PLACE OF FIIING ~ Citl~G~ C~YCY1t COIIlt TOTAL S - 2~4~j$.63 St. IaIC~~ t'.011AL7 Fort ti~rce, llorida 33450 NOTICE Of fEDERAI TAX LIEN REfILIM6 IRS SERIAI NUMaER_ S9•OS RKORDER'S IDENTIFIG1T10N NO.-__- Pierce, Florida NOTICE FILED WITH C1~~[~ Cirauit .GONrt~ St. LtC1e CAttAty~ 1r0Z'[ _ pA~ 11~9~7~ _ ~ TAXPAYER'S ADDRESS 1 ent thon shown obor~) SIGNATURE ~ _ ~tTtE Q~ ~ ~?isos, Collectioa Div. WITNESS mr hand ot ilest ~aL Bsactt, ~lotids _ _ , on this, ' the Sth d~ Junt 19 70 - SIGNATURE ?~W1iaa C. Gl8114i TITLE QlQ~~ SUp~11/~s°r-- - - - (NOTE: CertificcM of offictr avthorized by low ro take acknowled~ments is not essentiol 1o tM validit~r oi No1ic~ of F~rol To~ lien q G.C.M. Y6419, c.s. i9so-~. iZS.~ pb ~ PART 1-To b~ refain~d br ncordin~ offic~ ~1~ ~Aj,~ _ T~ - ,