HomeMy WebLinkAbout0431 Fc,~m 668 oE?MnMEr~t aF TN[ iZEwstRr_av;~Rwu eE~r~Pltlt sEewtE Fa. Op/anoi U~e !y Recwd~ny OIRc.
~REV t.: ol lIOTKE OF FEDERAL TAX Ud~l UiiIDQ M~NAL REYEI~lE UWS f 0 AtiD REWROE!
DISTRfCT SERIAL NUMBER ~~~f ~
Jaaksomrill~s ~tER CtRCU ~
~~p~tp ~R~vtEO.~.~~
Pursvant to the prov~sions of Sections 6321, 6322,.ond 63~3 of the Internal Iteve.
nve Code, notice is Aereby given ttwt there hove bee~ ossessed undcr the Inte~nal ~
c
Revenue laws of the United $tates ogoinst fhe follo~wing-norned toxpoyer, foxes (ir~tlud-
_ ing inte~est and penolties) wfiich oher demand for poyment thereof remoin unpaid. and - ' •
tFwt by virive of the abo.•e~me~tioned stotutes the omount of saed taxes, together with
penalfies, int~rest, and costs t~ot may attrue in od~tion therero, is a lien in favor of ~~'~9
the Uniled Stotes upon oll properly
ond rights to pro~xryr beionging to said taxparer.
NAME Of TAXPAYER
Aads~1/ ~isll
~~7;:y ~uw 25th sta~.et
ForL Piero~, ~'Lorlda
~ ~ UNP/UD BAIANCE
- IUND OF TAX T/1X PERfOD ENDED /155ESSMENT ~ATE IDENTIFYING NUMBER OF ASSESSAAENT
; -(a) (bl - k) (d) kl
~ ]A~1~0 12-j1~-61t }1,8•66 258-20•.0881 5,119.50
I~I ~0 12-3L~6b 5-19~67 25t3..2o-0881 i9o.6o
lAliO 12-31-67 ~Z 5~17••66 258-20•0861 11,8.~5
~
~
'
s r'L/+CE OF HUNG C1Ar1[~ Circ+~lt. CO'us''~ 428s65
9t~ LtLCi~ CO'tint, TOTAL =
Fort Pi~ro~~ l~1orids
vVITNESS hor~d at iiest PiLI B~ich. ~'1.0i'Sdi , on 1his,
t?+e ~ dop of Jt~. , 19 71
. i1TlE
?HOttitl3 C. (3RA (~ROITP SITP'~YI30it
~NOtE: C.n~'Kaa d oAk..r evN+o.a.d b~r k,w ro rak~ ocknowledym~n~s n nd a~enrid ~o Mr vol~d~ty of Notic~ of f~d~rd Tw ti~n G.C.M
~ ~bt19, C.s. 1950-51, 1?S.? p
~ r~JtT 1-To b. ..tain~d br .«ordin~ oAk. a001t
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