HomeMy WebLinkAbout1181 Form 668 c~EMlnMErrt OF i?~E tYfwulev-r~TERNwI eEVErtuE SEewCE Fo. Opr~orwl t1~e !r Recwdng OIRce
t~v. i-iol NOTKE Of FEDERAI TAX L~N UND~ NiTFRNAI REYENUE UWS
fIlEO AMD RECQ~
Di$TRICT SERIAL NUMBER yC1E Cp~y~ i~
Jack~osivillo, ~lor•i.ca ~ p-a'~ c`'
itE1tR C~
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Pursuont to the provis~ons of Sections 6321, 6322, and 63Z3 of the internol Rev~- RE~RO V[R~1~~~
nue Code, notice is hereby given that there have beeri assessed under the Internol
Revenue laws of the United States against the folbwing-named taxpoyer, toxes (inciud- Z~~~~
ing inte~est a~d penolties) which aher demond for poyment the~eef remain unpoid. ond
that by virtue of the ubove-mentioned statutes the omount of wid roxes, together with
penalties, ~nterest, and costs fFwt may occrue in oddtion thcreto, is o lien in favor ot
the Uniled Stotes upon all property and rights to propery belonging to soid toxpayer.
NAME OF TAXPAYER t Z~ 7 0 O 6
?;R ~ I' . 'c CF nCi..~ ~..:.~~t.
RESIDENCE ~~UX 1~5 _
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:~ort P~err~ , ~loricia-3 ~!~5G
UNPAID BALANCE
K1ND OF TAX TAX PEWOD ENDED ASSESSMENT DI1TE IDENTIFYING NUMBER OF ASSESSMENT .
; lal Ibl kl (dl lel
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ic4~~ 1~-3i-~~3 1~-0~:-70 ?f~7-5~-75~fi 1,355.7~
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Pt/?CE OF F~uNG ~~erk, ~irc•~it Court
~ St. u:c'e Gcuntj
't TOTAL S 1~ 35~. T~
~ Ft. Fierce, -1a.
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wt7t~ESS hor,d a? We s t P al m Ee ach, r ler i cia ~,n,
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~ ~ 2yth of ~:~rch ~q ; 1
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~ SIGNATUR TITIE
?4 Z1iaya C. Cra~rss G~~o up Supe r vi so r
` (NOTE: CMificde d oRc~r ovthorized br bw Io toke otknowledgmenls is nof es~rqid b Ihe volidi~ ofN~
h'u of F~dud Tax lia~ G.C.M.
Z6419, C.B. 1950-51, 125.) d~~K 191 Zi'~9
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PART 1-To b~ rNain~d bp ncor~np oAk~ .
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