HomeMy WebLinkAbout1167 -
l
Fom~ d68 oEr,~n~rn oF n~E n~Ewsuer-rares+iu ~.~nnl~ 5~~ io. qw,wwl us sr t.oo.d~g o1~
~~v i-~oa NOTKE Of FEDERAI TAX lQl UNOH M~T~NAI REYENIlE IAYYt FiLEO AMD RECOROEO
DiSTRI~T J~kNII~u~ SERUL NUMBER ST aOGE
CPOITRAS `A
CLERR CIACUIT COUR
Pursvont ro the provisioos of Sections 6321, 6322, and 6323 0# the Interrwl Reve- RECO~o ve~iF~EO .
nue Code. notice is hereby give~ thot there hove been ossessed under the Internol
Revenue laws of ~he Un~~ed Stotes ogainst the fdbwing-rwmed toxpoyer, toxes (includ- ~ 13 3 os PN
ing inferest ond penalties) which aher demand for poymeot thereof remain uopaid. oed
that by virtue of the abov~mentioned statutes fhe amount of wid taxa, togetF~e+ with
penolties, interest. and cosfs thol moy acc~ue in addtion therefa, is a lien in favor of 21112"?'
the Uni~ed Sto~es upon a11 property ond nghh to propert~r belonging to soid taxparer.
NAME OF UXPAYER
iH.llia Da~
RESIDENCE
2901 ~~nmr 1~
~ UNPAID BAlM1C~
KINQ OF TAX TAX PERIOD ENL~E~ ASSESSAAENT DATE IDfNT1FYING NUMBER OF I155ESSMENT
lal ~ lb1 kl Idl le1
+~"~~iQ y~~~ ~ZZ~~ 267-60-9658 ~V{j!N!
I
I
_
PUCE OF FIIING C3Blj[> C~TCIl~tr CAiP'tr
$t• Lt~C1~ CO~l1t~ TOTAI S Zf~1~00
!nr'~ Pie~~ l~l+orida
WiTNESS e~n c~u~d et Wiet Pal~ B~inh~ l3+~rldi ` , on ~ha,
~?,e 2~ dop of J~ t 9 7a -
5~ ~ . T1TlE
T~A3 C. (~VB~ Q~OUP ~t1P~R0IS08
{NOTE: C~rtiicah d olricer ovMw~iuA br bw ro rak~ «kna..ledpn?~nts n na1 ~s»nnol 1o M~ vd~dyr of Nw+c+~ d F~dad Tm~ 4~n G.C.M.
26119, C.e. 1950-S1, 125.)
~~~Rr' 7~ ~ 1~ ?ART 1-To b~ .Ndn~d bp neordie~ ~iRe~