HomeMy WebLinkAbout1578 For~ A6~-F U S TREASURY ~EPARTIiAENT • INTERNAI REvENUE SERVICE Fa OM~~~ Us~ B~ R~co.d~q ON•c~
~~ev. ~:-en ~ NOTItE OF fEDERAI TAX IIEN UNDER INTERNAL REYENUE IAwS s. ~uciE couuTr F~~?.
~IST;cICT sEttu~ No. 1 25 66 ROCER POITNAS
J 1? ~1pI"ida 142Z91 CIERK CIRCUIT COUR
Pu~sua~t to th• provis~ons o( Sections 63Y1, 6322, ond 6323 of ti~e lot~rnol R~~e- RECORD YERIFIEO
nw Cod~, notice is h~rsby q~ven thot th~r• hov~ b~e~ ossess~d und~r th• Internol ~
R~v~nue lows of the United Stotes oyoinst th~ lollowing-named foxpoy~r, taxes M~Y 11 II i9 ~M TI
(including int~res~ ond pe~?oltissl which after d~mcnd fw poyment th~reof r~moin
unpoid, and thot by virtue af the obove•mention~d stotutes the omount of said tox~s,
to9e~h~r with penolti~s, int~rest, and co:ts thut moy otcrue in oddition ther~to, is
o li~n in favw of th~ Unit~d Stotes upo~ oll property and rights to property belong-
ing to soid toxpaysr.
NAME OF TAXPAYER H~ Q~,1Ltt~
R+ola~d H. VailLnt Builder
R ESIDENCE Jenkina Rd.~ At• It~ BQ 57~+w~
Ft.~ ~el"'CA~ ~10!'~i
UNPAID BALANCE
TAX FORM NUMBER PERIOD ENDED ASSESSMENT UATE IDENTIFYING NUMBER OF ASSESSMENT
~o ) ~b ) ~c ) ~d 1 ~e 1
941 65-43 3r-12-66 59-0946958 1,423•39
i g~yt 65•~06 1-12••66 59-0946958 l, ]1~9.98
i 941 65-09 1-12-66 59-0946958 392.66
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~ ~~ACE flF FILING (',~~C~ C~~tr CG11I''t
$t• Lucie Ci01111~ TOTAL S 2~7w~~3
F~ Pierce, l7.orida-33450
NOTICE Of FEDERAL TAX LIEN REf ILIN6
IRS SERIAL NUMBER 59..Q~ _ RECORDER'S IDENTIFICATION NO.
~ Pierca~ Florida
PIOTICE FILED WITH G~~j L`~y~~ _L`pyy,j~ -~f_~~ ~A~~- _F01Z'~r DATE _~a'~w'j,t
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" TAXPAYER'S ADDR S ~~~+p~ ~ - ~,ip ~l~,~ ~A8~II BMC~i~ ~0~~dt- - .
~ (I~diNerenf thon shown obore)
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~ SIGNATURE _ _ _ _ ~ TITLE(}~p~ r iD1T•
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~ WITNESS my hond af Y~~ P~~~CZI~ ~+QT~da , on this,
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~ rhe - - _day of ~j~_ _ _ , 19 ~ -
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~ SiGNATURE 'hl0i~i C. ~'a9~i TITIE Q~1011p ~I'~a01'
~ a~i92 1574
~ N07E: Certi/icale of oNicer ovthori:ed by low to loke acknowledgments is not esseetiol ro~he volidity o( No?ice of federol Tox tien
~ G C.M. ?6~19, C.d. 1950-1, 125.) ~
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PART 1-To be retained by recording offic~
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