HomeMy WebLinkAbout1796 Form 668 DEPARTM.ENT Of THE iREqSURY-NdTEW1Al REVENUf iERYKE For Opfonol Use By Recnrdmg O/Rce
~REV ~-~o~ NOTIC~ Of fEDERAI TAX UEN UNDNt lNTERNAI REVENUE UWS
CISTRlCT SERIAI NUMBER
_ JACKSONVILLB, FIARIDA ffCED AND kEC~RDEO
ST. lUClf CO~NTY FLA.
Pursvant to the provisions of Sections 6321, 6322, and 63~3 of the Internal Reve- ROCE= %:~TRAS •
nue Code, notice is he:eby give~ thot there hove been ossessed under the In;ernaf CLERK G:~:ttT COURT ~I(;~
Revenue laws of the tlnitecl Stotes against the following-nomed toxpoyer, taxes (includ- p~~~R~
ing interest ond pencitias} which oher demond for poyment the:eof remain unpaid. ond ~~3 ~u
that by virtue of the cbove~mentioned s;atutes the amaunt of said toxes, together with L
pen~lties, interest, on~! costs tfiut may accrue in odd+fion !hereto, is a i~en in favor oF
- the United States upo+~ ol! property and rs~h?s fo properfy belonging to said taxpoyer. ~~~r
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NAME OF TAXPAYER
I~uther Sandlin
RESfDENCE
1105 Avenue I
Fort Pi r Florid
UNPAID BALANCE
KIND OF TAX TAX PERiOD ENDE~ ASSESSMENT DATE IDENTIFl(ING NUMBER OF ASSESSMENT
1~1 (bl kl tdl (e)
943 Fica 12-31-71 04-03-72 59-0492064 $ 545.86
943 Fica 12-31-70 04-03-72 59•04920b4 661.69
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i PLACE OF FILING
` Clerk, Circuit Court
TOTAL i 1,207.55
St. lucie Couaty
Fort Pierce Florida
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WIITIESS my hond at ilest Palm Beach, llorida , on this,
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the 21st of June , 19 ~2 ~
soox ~E
SIGNATURE TITI.E
; ~ 1
' G. A. SHARPE ~ A~p~g[ogp ~uR~~ris~r
(NOTE: Cut~Fcote of offic~. o~thorized by law to roke acknowledgment~ n not essentid 1o ths validiy of Notice oF Federd Tox lien G.C.M.
26`19, C.B. T950-51, 125.)
. PART 1-To b~ rNain~d by record'in~ of~1c~
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