HomeMy WebLinkAbout1182 F«m 668 oEP~urMENr oi n+E rRfllSUer-aYTEwl1t REVENt1F SECVKE Fo. Opriarwl U,e 8r Reco?deg Olt'.c.
t~v. i-~o~ NOtKE OF FEOERAI TAJ( U@I UNOER MTNtNAt REYEI~ UYYS f~W01E CBW~ri
UISTRICT SERUI NUMBER IlOCER PO11~A=
TA ~ s i• CLERII CII{CW~ QOrRj.~
RECOIlO VEfl1i1E0~..~~.
_ Pr,fsuont to the prov~sions of Sections 6321, 63~2, and 6323 of the internal Revo-
nue Cock, notice is hereby given thot there have bee~ assessed under the interrwl
Revenue Iaws of the United Stotes against the following•named toxpoyer, toxes (includ-
ing ~nterest ond penalties~ wn;ch aher demand Ior poymant thereof remain unpoid. ond
thot br virtue of the obove mentioned statutes the amount of soid taxes, k~;ethe~ with
penolties, interest, and cosh lhot moy occrue in addition thereto, is a lien in fwor of
the Urnted $tates vpon all property and rights ro propert~r belonging to said taxpayer. 7~, ~
NAME OF TAXPAYER
.r'~Tii~r?:?D L_iLL~
~ills Plas ~erin;,
RESIDENCE ~
~13 ~i£'+'I'&Ce ~
~t. Piet~c•e, F' ori~a_ ~~l;_50
UNPAID BAIANCE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
I~l (bl kl (dl l~l
9~1 ?-3~-7~ 0-~~-7~ ,~-117~7ya 31;,»
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PUCE OF FIUNG le rk , C ir c~ ;c } ~ l. c~ tr t
- :i ~ . iuc i: c~ • , ~ ~ ;,r TOTAL s ~ ~ • ~ ~
- t • ~ 1 r' Y' : ~ ~ ~ i.~• •
;i WITNESS my hond at ~:~eSt F~alm ~f;ac;., Flbrida on ~h~
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- +?+e of ~~:;rc~^ , 19 71
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" SlGNATURE,~-,~J / TITLE
~ Q~ ~7~ ~,r^up Supervisar
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(NOTE: Certificd~ of oWicw ov~horiud br low ~o ~ok~ «knowledlflm~nes is ew~ ~entid b M+~ vo6dAy of Ndics of ird~rd Tmc li~n G.C.M
16119, C.B. 1950-51, 125.) 600K
PART 1-To b~ ntairnd !n? ncordin~ oAk~
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