HomeMy WebLinkAbout1497 FO~T ~S DEMRTMEM OF TF~ TREASU~1f-INTFRdAI lEVENUE SEQVICE FW
~REV. 1-701 NOTIt~ Oi FEDQAL TAX L~f 1lNQ~ MiT~NAI REYENIlE tAWS Rf~fk :"v 7RAS ~
UISTRICT SERU?L NUMBER ~lEAI~ G~.;.~~T CpuRT
Jacksonville~ Florida ~E~~a ~Ek+F1ED.~
Punuont to the provisions of $ections 6321, 6322, and 6323 of the Internol Reve- ~'r'
~ue Code. notice ~s hereby g~ven thot tF?ere have been assessed under fhe Internol
Revenue lows of the United Stotes ogo~r~st the following-nomed taxpoyer, taxes (includ-
ing interest and penalt~es) which aker demond for paymertt thereof remo~n unpoid. ond
thot br wrtue of the obov~mentioned stotutes the amount of sa~d taxes, together w~~, 20~'i240
penoh~es, interest, and costs thai may occrue in oddtion thereto, is a Gen in fovor of
the Unitcd Stotes upon all property ond rights to propertp belonging to said taxpayer.
NMAE OF TAXPAYER
Tha~as J. Cer~y .
Rf51JENCE
l~06 N. l~lst 3t.
Fort Pierce~ Florida
l1NPAID BALANCE
KIND OF TAX TA: PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
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lo%O lz ~i-65 iazc~-~7 355-1c~9795 #i36.27
io4c i,2-31-6E 9-i5-6~ 355-Za9795 334.E~6
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~ F"JICE Of FItING
- Clerk, Circuit Court
$t. I~C39 COt1Ilt?3? TOTAI s ~??0•93
~ Fort Pierce~ Flo4-ida
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wITNESS n?y hond at Nest Pal~ Be~ch? Florida , on th~s,
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h~ dor of Feba~u~ , 197'1
rr s+c,w?ruR TITLE
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~ T80M~3 C. VB3 GR~P 3UPERVIS(S
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~NOTE: C~rt~'icde of o1Rc~r ovtho.~zed br {ow to +oke ocknow!«lyments ~s nd essenhd to ~he vol~dAp of Noh`e of Fedsrd Toa l~tn G.C.M.
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R:x PART 1-To b~ rNain~d br ncordin~ ofPic~
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