HomeMy WebLinkAbout2028 Form 66d Dfo.vT7r~~vl Of THF TYEASLt41-iNiFW~t Ri~rtNJE SEitvM:E For Orx~onol Use Br Reco.dng Qfl~Ke
(REV. i-~o? NOTICE Of fEDERAI TAX 11EN UNDER INTERNAL REVENUE UWS ;
~ ~iEO u~o sf
' DISTRICT - SERIAI NUMBER _ =T. ~YCIE COIiMT~~li
; Jacksonville, Fla. AaCERf01 ~
3 P~•rsuont te the prov~sions of Sections 632~, 6322, and 6323 of the Internai Rev~ a~~kC~'~TCOYRT`~ ~
RECORO tlEftitlEp,.~~~~
nue Code, nohce ~s hereby g~~en that there hove been essessed ~nder the Interrwl
Rev~nue lows oF the United Stotes ctga~nst the fo!lowing-named taxpoyer, toxes (includ-
~ ~ng interest o~d pera(hes} wh~ch oher demand fo~ payment thereo! remain unpoid. and
e that by virtu~ of the abov~ment;o~ed ~~otutes the amount cf s~~d taxes, to~ether w~th
; penolties, interesl, ond costs fh~t may occrve m additio~ therero, ~s a I.en in fovor of .
the Umted $tates upon o~f property and righh to property belar.ging to w~d toxpoyer.~ ~~p7~
Oa?
NAME OF TAXPAYER
; ;1 ii :.~1 . _°t~
RES~DEN~E 102 Gar~enia Ave. ~
:~t. ~ierce~ `r'la.-3?l~~0
_ a
UNPAID BALANCE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE 1DEtJ7IFYiNG NUMBER OF ASSESSMENT
t3 (a? Ibl Ic ~ id 1 le1
:=f
= l~~~TO 12-31-69 5-29-?0 392-l~-8137 236.25
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'.r~ _
PtACE OF FIUNG ;,Zzrk, ~irc~ it• Court
5~. i.ucie COUnty TOTAL S 235.?_~j
r^t. ?ierce~ Fla.
WITNESS my hand ot 'aiest Palm Beach~ r or; dA , on this,
the _~~_dor of ~ctOber , 19
SIGNATIqtE TITIE
~ ~ uroup 3upervisor, Acting
G. A. Sharpe ~
(NOTE: Cerl~ficate uf officer outho~aed by iaw to toke ockno«le~d3mer.ts n nd axnt~ol ro ehe vol~d~~y of Notue of F~d~ral Tax l~ G.C.M.
26419, C B_ 1950-51, 125 ) Q Q
= PART 1-To b~ ?Noin~d b ncordin~ oAic~ 60iN~ ~t~ P~f
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- . . . . - . R76 ~ _ ' .