HomeMy WebLinkAbout0862 Form 668 oEMer~rrr oF T?+e n~wwev-wtE~ ~uE s~~ Fo. opo~,o? u,. er R.oo.d~~ oN~c.
'(REV 1-70) NOTKE Of fEDBtAt TAX U~1 UNDQ I!lT~NAI REYEMIE LAWS f~LE0 ANO RECO
DISTRICT 56t1A1 NUMBER ST• WCIE COIINTY
~acksonville ROCEit POttRAS
RECORD YEa1~f1E0 C~T
. Pursuant to ths provisions of Seclions 6321, 632Z, and 6323 of the Intemol Rev~
nue code, ratice i: hereby giv~en Nwt ifiere hrn,e been ossessnd under the ~Memc~ ~ 9 8 1~1 AM'7Z
Revenue (aws of the United States ogair~st the following-named taxpayer, taxes (includ-
ing i~est and penalties~ which after demond for pay~r~snt thsreof remain unpoid. ond
that by virtue of the above-mentioned statutes the amount of said tozes, togethsr with ~~r~
penokies, interest, ood cosh that may accrus in addition therero, is a lien in favor of 1~rIG~~1~
the un~rsd Stares ~ a~~ ~o~y a~d ~h~s ro ProPe~ry b~o~~~ ro so~d b~ayer.
NMAE Of TAXHAYBt -
~outheastern ~ieria.l ::ro Service inc.
RESIDENCE 't'u :Ax 9~2
r't. Pierco, :1 ',3'y50
u~Pao eu~ :
KIND OF TAX T/~X PERIOD ENDED ASSESSMENT DATE IDENTIFlfING N11M66t OF ASSESSAAENT
la1 roI kl (dl (•1
~ 72~ ~9-3Q-?o 12-17-71 59-d7~1141 'l~•59 ~
; 720 12.31_7~~ 1~17-71 5~-0?11141 ix~7.61
F
t
k .
i
i
E
~
ig
3
"t
~
e
3
#
~ >
~ .
~ -
~
~
~
~
" ~ncE oF Fiur~
~ ::lerk~ ~ircuit ~ourt • TOTAL = 1434.20 ~
~ ~t. Z,ucie Count;~
- r t. Pierce~ r1. -
Y ~~j,~ni ~ N'~ n 011 1FIt5,
WITNESS m hand at -
the ~t ~ doy of : ~ r~ , 19
= SIGNATURE TITLE
~
A~ ~~hiaf, UPfice ~ranch
~ (NOTE: CertiRca~te of of!'icer ovt y law to take ocknoviledgme~ts is nd essentid to the validiy of Nofice of Fedxd Tox lie~ G.C.M.
26419, C.B. 1950-51, 125.) ~ ~
~ PART 1-To b. ?.td~.d br r~o~rp omc•
, - - - - -
~
_ ~ ~ ~ ~ ~ ' ~ ~
~ ~~,~~~`.~,i~.` ; ~ '~~'~~y~~~~,"~'.,~~
°"a..' t,~'k..r F
.~Y py."'^~'~.'f€ „S. ~ .eK ~ ~'~+P" "~''R rc"'~~~.,.~i
~~.r~~ ~~y4~~ ~ 5 ~3k'~S:
~~~g'-
.s ~ ~ Y.-,~a--~,_,~~_.2~~-t;`=~^ . _ . _ ~."scz..,