HomeMy WebLinkAbout0433 Form 668 oE?I~tN1Et~rT OF THE 1~EwSlRr-a~iERNAt eEVE~wJE SEMCE Fa Op?~onal Us~ y t~cordu+g OACcs
~r~v i-~o~ NOTICE OF fEDERAI TAX l@! tINOQ NriQMAI REYFM~ LAWS
DISTRlCT SERlAL NUMBER ~fi ~~~i1Li ~
J~ckaonville l~lrorida a~+~+c~i~cwt cawt~`
11E~pR~ ~FP.tft£D~~
Punuan~ to the provisions of Sectian 6321, 6322, and 6323 oE the Internol Revs-
nue Code, notice is hereby giren that there have beer? assessed ur~ the Int~~nol 8~~~~
Revenue laws of the United States ogoinst the fdlowing-named toxpoyer, toxes (includ-
ing intw.est ond pe~alties) which ake~ demond for paym~nt N~ereof remain unpoid. and ~
that br virtve of the above-mentioned stotutes the omount of wid taxa, iogather vinM ~
penolties, interest, ond costs tho~ moy accrue in odd~tion thereto, is a lien in favo~ of
the United Stotes upon all property and rights to ptoperrty belonging to said toxpvyer-
NAME OF TAXPAYER ~
E'r~sat iialtoa~ Jr.
RESIDfNCE •
1~03 ~*sm~ C
ForL Piero~~ l~lorids
UNPAID 9J1L/lNCE =
K1ND OF UX TN( PERIOD ENDED ASSESSMENT D/1TE IDENTIFlfING NUMBER OF ASSESSMEM
la) (~1 (dl lel
' 1040 12•3~? ~-1?-68 259-74~4632 i1].3.27
i
-
I
~
,
PucE oF Fuir~c Cisrk, Cir~uit Canrt 113.2?
St• LuC1e Co~Dt~ TOTAI S ~
Fort Pierce, 1r]+ori,da
WITNESS etry hond of jiOSt Pil~ ~diOh, ~IAl'1da , on fhK,
the ~t d~y of J~ , 19 ~
SIGWI? T1TLE
TH~B C. t33i~o88 ~ 1~01IP Sl1P8RVT8~
~NOTE: ~«~coa of ofFcv ou+haa.d dy law ro wke «k~,owt.dg.~+enh ~s na .s~~d ro M~. ~oud~ry of Nohc. d F•dwd Tm~ l~ G.CJ~
26t19, C.d. 19S0-Sl, 145.) B~
PART 1-To b~ e~Main~d bp ncordin~ ellk~
, 'y_-:`j .-~;F`'