HomeMy WebLinkAbout1644 Form 668 OE~IUtTMENT OF TFIE TREASURY-iN'ERt~/u REvEn~f SERV?C!~ For OponoJ Ux ~ R«or~ng Oi6ce
°.REV. i-70) NOTKE OF FEDERAI TAX t~i iJNDER ~lTERNAI REYENUE tAWS E lE0 ANp RE
£ DI~TRICT SERIAI NUMEER ~yG~ ~
ancxso~rv~~ e~R~~~~ a~~
RECORp CtACWrt ~
Pursuonf to the provisions oF Settions 6321, 6322, and 6323 oF the Internal Reve- 1?ERIF~[0`~ `
; nue Code, no~ice is hereby g~ven that there have been assessed under the In1ej~~al ~O
z Revenue lows of the United Stotes ogainst the foHowing ~amed taxpoyer, roxes (~ndud- ~'T 2~~~
~ ~ng interest and penallies) wh~ch af!rr demand for paymertt therec~~ remoin unpoid. ond
; that by vutue of the obovement;o~ed siotutes the amourst of sa~d taxes, together wi'h
' penolNes, inter~st, o-~d costs that may eccrue ~n addition thenb, is o i~en ~n fa~or of ~y~ty~~•yp
the United $!ates upon ail p;ope.fy and rights to property be!ony~nc~ to said toxFayer. 141~i~~~7
~
~ '..~M~E Of TAXPAYER
s= 1`am H& Veda R GenLry
t~
~ kEStDENCE 2J~J9 1~ 32`d St
~ r`t. Pierce ~ FL 33450
UNPAID BALANCE
KIND OF 7AX TAX PERIOD EN~JFQ ASSESSMENT DATE IDE~lT1FYING Ni;t~!6ER OF ASSESSMENT
(a 1 (b ) ) 1d } te1
- - - -
~
- 1040 1z-31_68 4rz4_70 424-34-9494 ~192.95
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PUCE OF FIIING
' GI@11C. CIrCUtt COUH
~.UCE6 COUfI~/ TOTAI ~~2.~5
Fo~t Pieroe, FloNda
WiTNESS mr hond ot ::isr.ii. r-'loriria , on th~s,
rhe 18tn ~y o; October , 19 71
SlGNATURE T1TlE
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{NOTE: Cert~ficete of of~'icer outhonzed by iow to toke aclno«iedgrrenh is no1 essent~ol to t4-.e vai•d~ty oF Nof~ce of federof Tax L ~ M
~eaiv, c.e. ivw-si, i~s.~ 0 R ~ PACE~V~~
PART 1--To b~ r~tainQd by ~~cordiny of~ic• BOe~ ~
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