HomeMy WebLinkAbout0613 ~ _ . . - ~ G - ~
p~ ~g o~nre~ oF n~ nEwuxr-Nrea~ ~ se~nce Fo. opiaal tb. b R.aordi~y OIRa
~~v ~-~o? N01KE Of iEOE~AL TAX L~I INIOER Ni~NAL ~ tAMIS .
DISTRICT SERIAL NUMBER r
Pu~suaM ro the provisions of Sections 6321, 63~, ond 6323 of the In~erna) Rev~ ~ If1
nue C
o
d e, notice is h e ~
e
b
y given t h a t t h e ~e h a v
s b e e n assessed under H~e Internol
Revenw laws of the United States agoirat the fdbMr+i~g-~wmed taxpayer, tmces (includ- !7~
ing interest ond perwttia) which aNer demond for paymeM ther~of romain unpoid, ond /
Nwt by .virtue of the obove-mentioned staivtes Ihe vmount of said roxes, bgether wilh
peneMies, inlerest, a~d cosis that may occrue in oddifion therero, is a lien in favor of
the Un_'ded States upon oll property and rights ro propert~r belong~ng ro soid icxpayer.
NAME C!F TAXPiAYER
RESIDENCE
~
l043 olivs st.r..t ~
Cocoa, Flarida, 32922
UNPAID BAIANCE
KlND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
(a) (bl k1 ldl lel
10~4~0 12-31-69 05-~-7~ 23b-10-9065 =109.60
la~o i2-31-6? 03-21-69 234-10-9065 ?29.6i ~
~ t
~
~ncE oF Fiur~c ~
CLERK OF THE CI$CUIT COI~iT TOTAL = 639,p~j
St. Lnrci,~ Count~
W1INESS m~? ha~d ot ~•t p•~,_~•S~` ;~3+0~'~~ , on this,
gooK 2t~ 613
f},a ~_~r of v... , 19
_ ~
s
E ~E
(NOTE: Cerl~cale of oRoer ouNarized br law ro takt acknowledgmenb is no1 as~sneid ~o th~ voGd~r of No~ic~ oF Fed~rd Tmc lien G.C.M. '
26419, C.B. 1950-S1, 125.) ~
PART 1-To b~ nfain~d b~? ncardina oAic~
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