HomeMy WebLinkAbout1795 - Form 668 t~r~urt?~rtt OF n+E ntEASt,~t-wrEtwu tEVENUE SEtmCE For Oprb+a! Use Br Rawdng 0~6ce
l~v ~-~o) NOTKE Of fEDERAI TAX LIEN UNOER INtERNAt REYENUE U1WS
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Punuant to the prov+sions of Sections 6321, 6322, ond 6323 of the Internol Reve- ~~3 ~
nuc Cacie, notice is hereby given thot there hove been assessed under the Internal ~~y
Revenve taws of the tlnited Sto?es against the following-naRee~ taxpoyer, ioxes ~intlud- Yw~
ing mterest ond penalties) whith afte~ demand for poyment thereof ~emoin unpaid. ond
that by v~rtue of the above-mentioned stotutes the amount af said taxes, together with
penott~es, interest, and costs thot may accrue in addition thereto, is o I~en in favor of
tne Umted Stotes upo~ al! property and righh to properiy belonging to soid bnpayer.
NAME OF TAXPAYER
~rt.hUr` DaV1~d I~OtC~I
Rc ~IDENCE
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Ft. Pisro~ • I~1 331+54
UNPAID BALANCE
KIND OF TAX TAX PER10D ENDED ASSESSMENT DATE lDENTIFYING NUMBER OF ASSESS.IENT
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941 09-30-?1 03-13-?2 55-05~85 1903•16
941 06-30-?1 09-10-71 5S-o52z185 17y1.88
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~ PIACE OF FIUNG
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Fort Plerce. Floride
~ V?ITNESS my hond at ~~i~ , on this,
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the rioy of J~ , 19 2
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i S~GNATURE TtTLE
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~ f NOTE: Cert~cofe of oN'icer outhonze y ow to take ocknowledgme~h is not esseotiol to the vaGdiy of Notice of Federo( Tox l~en G.C.M.
26419, C.B. 1950-51, 125.j
PART 1-To be ~Nained br recording oAic~
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