HomeMy WebLinkAbout1199 FOrm S6B DfPAATMENT OF iME i~EASI?RY-NiERNAI REYErKIE SEK~CE for Opliorwl lJfs dy Recwd OIFc!
~a~v. ~-~o? NOTIC~ Of fEDE1Gl TAX li~l UND~ NiT~!!Al REYENUE LAWS Wi~ coU r
DISTRICT- SERIAL NUMBER AQC4ER P01 ~A
Jac~s.:.,•,~:_:_~ CLEAK C~~WtT ~wtt
11ECOR0 Yf ~lil[~ ~
Punuont to the provisions of Sections 6321, 6322, ond 6323 of thc In?~no1 Revt
nue Code, ~otice is he?eby given that there hove beeo ossessed under the Internal
Revenue taws of the Un~ted States aga~nst the Fdbwing-nomed roxpoye~, laxes (includ-
i~g interest ond penolties) which aher demand for payment thereof remoin unpoid. and
thot by virtue of the obovementioned sSotutes the amount of said taxes, together with =t~'
penollies, interest, ond cosh that moy occrue in addition thereto, is a{ien in Fovor of ~~M~a~S
the United Stotes upon all property ond rights to properfr belonging to said taxpayef. -
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NAMf OF TAXPAYER
~ill~ e P . ,ellons
RESIDENCE
123 So 13th
-'t: Fiorce, F_la
uNP,~o a~w~cE
KIND OF TAX T/1X PERIOD ENDED ASSESSMENT DATE IDENTlFlflNG NUMBER Of ASSESSMENT
(a~ (b) 1d)
1 ]=+c-s:, ~?._"il-~,' i~ll_::F' 414_24_t :i.5~ 2,85..14
i ;tY^ ~2_~l_~r'~ E.-11_%~r 41~+_24_~3~ 4z1.92
i 1~~=i~~ ic:~~~~t,~ 1~?Z.~:f~ L,~~+~.~..11~~i~~' 3~13•27
; i~'~~oa 12..31_~~ ~_o1_f~} ~;1!t_24_~35~ 199.11
~ 1~J'~a I~31tc~~ 8_oZ_(~ ~+14_24_5;,~. 232.80
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4 '.:~._..5~~ ~l.:w ~i_ :i%. I~l TOTAi `
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~~'T. Pl~~~;y'~ :.,'v.~Z:~A
wITNESS mp Fwnd ot :-=ia:~i ,'rlori~.3 a
, on this,
~ lst ~of Septer:'t:er, 19 71 0~'~~ _~~~n"l
SIGNI?TURE ~ 11T1E
CHI~F, OF,ZC~ : RAiYCH ~
(NOTf: C~caN d oiRc~r ouN+wasd bp law to tak~ ocknowl~dpm~nts n no1 axr?hol b th~ vd~diy of Nodu d Frdad Tox liin G.Cl~I.
z~~v, C.S. 1950-51, ~~s.~
PART /-To b. n+ain.d br r«o.aino o+Rc.
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