HomeMy WebLinkAbout0381 Form 668 oEnur~nn oF n+E n~Ewuxr-r~rFer,~u eEVENUE sEew:E fo. op~ono~ use Br e«w olRc.
~r~v i-~o) NOTICE OF FED~AI TAX L~1 UND~ iNTNtMA! REYElplE IAYYS : f~ o~N
DI$TRICT SERIAI NUMBER ' E~ rp ~
Jaalcaonvill+s~ Florida ~
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Pursuant ~o the provisions of Sections 6321, 6322, ond 6323 of the Internoi Rev~o- '
nue Code, notice ~s hereby given that there hove been assessed unde~ the Internol
Revenue Iaws of the Um~ed Stotes ogoinst t,~e fdbwing-nomed to~cpayer. ta~ces ~inclu~
i~g inl~est and penalt~es) which oNe~ dsmor+d for poymeat thereof remoin unpaid. and
that by vir~ve of the obove-mentioned srotutes the amount of so~d taxes, togcther with
penahies, ~nterest, and cosh thot ~ry occrue in oddition thereto, is o lien in fovor of
the United Stotes upon all proper ~~nd r~ghts to propery belonging to wid taxpoyer. ~ O~ C~
v
~lAME OF UXPIIYER
J• B• B1pCkw~ _
Rf51DENCE
At 3 Boz la90B
Fort Pierno 1r'lprida
UNPAID BAWVCE
KIND OF TiIX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
Ial (bl kl (dl (el
151t 2-28-69 7-2-TO 596601711~04~1 =b58.04
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~ PUCE OF FILING Cle2it CiTCU~L C01is't
, 658.04
' 3t• LtL01~ COUII~ TOTAL s
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