HomeMy WebLinkAbout1478 Form 66R DEPARTMENT OF THE iREAStXr-INIERNA! REVENt1E SEIMCE Fo? Opriond U» ti R~cordnp OfFc~ ,
;r~v ~-~oi NOTKE OF ~EDERAL TAX L~N UNDER WTERNAL REYEi~ tAWS r ~EO ~~+u REC ~ E
~ ~sTacT SERIAI NUMBER RosEa
4';j~Y,,a
Jaaksonville Flori CtERR CIaCV1T OOURT
- RECORO VEIIiF~EO~
Punuant to the provisions of Sections 6321, 6324, a~d 63~3 of the Internal Reve
nue Code, notice is hereby given that there have been ossessed under the internal ~ e i1 ~S ~~1 ~
Re:e+:ue laws of the Un~ted $totes ugoinst the following-nomed toxpayer, faxes (includ-
ing interest ond pe~olties) which aher demand for payment thereof remain unpaid. and
that br virtue of the above-ment~oned statutes the amount of wid tozes, together wiM
penalties, interest, and costs thot moy occrue in addition thereto, is a lien in favor of A q~~
the Unifed States upon oll property and tights to properfy belonging to said taxpayer_ ~+G
t~:AME OF TAXPAYER
George & Mary Bo~men
kf51DENCE
Rt 3 Box 510
~'ort Pierce~ Florida
UNPAID BALANCE
K~ND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
{a) (b) (c) (d) fe)
10I,~0 12-31-67 10-16-?0 2 58~l?8-0597 #163.32
1040 12-31-68 10-16-70 258-48-0597 350.64
1040 12 31-~9 10 16-~9 258-48-059')' 4b6.74
E
i
€
~
;
~ .
~
:
~
~
~
~
~
_ ~v?CE OF FlUNG Clerk~ Circuit Court
St. Iuaie County tor~t s~0.70
~ Fort Pierce~ Florida
~
~
' WITNESS my hond ot KeBt Pala Beach. FlOi`ida , on th~~,
,3
2
3 the 6~ dar of , 19 n
~
SIGNATURE TiTIE
~ ~i? ecru~c ~o~ str~xvisa~
(NOT . C~rtdicwe of off?cer outhwu~d by Iaw to tok~ «knowl~dgmenb is nd asnntid b 1!» vohdiy of Nd+ct of Frd~rd Toa l»n G.CJN.
Z 9, C.B. 1950-51, 125.)
:i:• Par[T 1-To b. ..+ain.d br n«o.din~ o1Rc.