HomeMy WebLinkAbout1498 fOfm 66~ DEPARTMENi Of T1~ TREASURY-INTF~IAI lFVENl1E SENKE For Opf 1 Ufe 6y R~cnrdnp 01F~c~
~~v ~ao~ MOTICE OF ~EDERAL TAX U8! UND~ INTERNAL REYENUE tAWS ir. ~uc!E co!~T~.
DISTRICT SERIAL NUMBER EflK C RCUFTG ~
Jaokaonvill~ ~lorids ~tEC~itQ V,ERjf1~0~=~r~
P
unuant to t h e prov~s~ons o f $ e ct~ons 6 3 2 1, 6 3 2 2, a n d 6 3~ 3 o f t h e Interna l Reve-
nue Code, notice is hereby given that th~re have been assess~ed under the Internol ~ 9~~~~
R e v e n u e i a w s of th e Umt e d $
t at e s a g ai n s
t t h e f o l b
w
i n g- n om e d t ax p a y er, f ax e
s n cl u d-
mg interest and penalhes~ vrh~ch aher dema~d for pe~yment thereof remain unpoid. and ~
thot by v~rtue of the above-mentioned statvtes the omount of sa~d toxes, together w~th
penalt~es, ~nterest, ond costs thot moy accruc in add~t~on thereto, is a lien ~n fovor of
the United States upon alf property ond rights to p~operir belonging to wid toxpaycY. ~7f~1~~2~1 .
~t
FvAME OF TAXPAYER
Clar~nc~ Parrish
RE 51 DENCE
621 Duadas Caurt
Fort P~erc~i l~los~id~
UNPAlD BALANCE
KIND OF TAX TAX PERtOD ENDED ASSESSMENT DATE IDENTIFYING NJMBER OF ASSESSMENT
(a) (b) (c~ (d) (e~
loij0 12-31-~68 5-23-69 26~4-34-9T91 ;340.47
~
~
;
i
F
S
3
l
i
~
E
~
~
B
3
~
5
~
~
~
~
`t
§ PLACE OF FIUNG Clsl'k~ Ci~CU1t
• 3t~ L~C1~ C01~nLL~ TOUL s~/O.~IT
~ ~ort Piero~~ l~'3crida
~
~ -
~
~st PaL B~~~l. ~~0~~ , on thi:,
WITNESS m~r hond ot
+he2~dor of ~'~b. , 19 n
~ ~
j: S~GWhTURE ~ ° TITIE
. C • t~RAVE3 (}ROUP SUP~PI.gtt
- ~NOTE: Cat~ficde of olFiur wM+w~2ed bp low fo toke ocknowledgments n~of ~ss~nhd to th~ vohddy of Nohc~ of fed~rd Toa l~en G.C.M
~ 26119. ~.B 1950-51, 125.J ~l R
~ PART 1-To b~ rNain~d by ncordirp o}fic~ a~` K
a_
~ = ~ l ~
_ . _ - - `