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F«m 668 oEn~r~r oF nf nEwwer-~vrEa~u~t e~?+ue ~ r~ar oa~onol u,e ey t.oo.d~np ofFc.
(RL~I. t-70) NOTICE OF fEDERAI TAX IBI IMI~ NTBNAL REYEIiN~ IAw'S 0 AND RECpR
N~~ iT lUC1E COUNTY
cksonvilla llorida ROCER POITRA~
RECORD YERI~fIFO C~T. L
PunuoM to the provisions of Sections 6321, 6322, ond 6323 of the Internal R~ev~e- .
nue Code, nofice is hereby 9iven that there have besr~ assessed under the Internal ~ ~
of ~ f~~ c~~a- M~qr J2 2 s~ PM'11 ~
ing interest and perwities) which aker demand for paymaot tF?ereof rertwin unpaid. and
that br virtue of the obove-menfioned statutes tha amount of wid taxes, togelher with ?
peno{ties, interest, and costs that mor acmie ie addtia~ tt~eto, is a lien in fwor of q ~
the Uniwed States upon oll prope~ty and righh to property belonging to wid ta~ayer. IGr1~425
NAME OF TAXPAYER ~
. ~
RESIDEIVCE ~
2608 South Fourth Straet
UNPAID BALMICE
KIND OF UX TAX PERIOD END~ ASSESSMENT OATE IDENTIFYING NUMBER OF ASSESS~NIENT
~ lal ro1 kl (dl lel
i
~ -
~ g44 Futa 12-31-70 02-21•72 37-0840410 $ 109.58
~ 941 NitLholdi 03-31-71 08-27-71 37-0840410 24.92
I
941 Withholdi 09-30-70 03-26-71 37-0840410 1S.87
941 Nithholdi 06-30-70 10-16-70 37-0840410 628.69
~ PLACE OF RUNG
Clerk, Circuit Court TOTAL = 779.06
8t. Lucis Couaty
Fort Pietce Florida
yy~~~ iiest PsLa Heac6. Floride , on ehis,
~ lOth doy of ~ , 19 7
80~ ~
SK3Nl? ~
~ •
TROlNS C.
(NOTE: Cer1~'~caM of olFiar authoriz~d b~? low b ed~ acknowledgnNnfs it nd a~nlial b th~ volid~? oi Notios oF FrdKd Tac li~n G.CJ~I
26419, C.d. 1950-Si, 125.)
~ART 1-Te bs ntaMNd by noo~+diep oAk~
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