HomeMy WebLinkAbout1712 fom+ 6bCi OE?ARTMENT Of Tf# i~EASURY-1NtERNAI REVENUE SEtvKE For Opro+wl Ust Br Recordnp OIF:c*
~~v ~.io) NOTKE Of ffDfRAI TAX L~I UN08t iNTERNAt REVEi~ttiE LAWS fIlEO ~MO RECORO~
DISTRICT ~Q~~N(~µg~ =t.111C1E ~OUNTY f
Jaclcso:rv'ille e~ER~C~~-"ii,Jt COURT
- RE~ORa V£~i'•fIEO
Pursuant to the prov~sions of Sections 6321, 6322, and 6323 of the Internal Reve- p~
nue Code, notice is hereby given thaf there have been asseued under the Iniernoi ~i Z5 2~ 1 Il ~~Z
Revenue laws of the United States against the following-named ioxpoyer, luxes (includ-
ing interest and pe~alties~ which aRer demand for payment thereof remain unpaid. ond
thot br virtue of the above-mentioned stotuta tfie omount of wid taxes, together wi'h ~~~1~
penalties, interest, ond costs tlwt may occrue in addtion thereto, is a lien in frnor of IGrV
the United States upon otl properry ond rights to properiy betonging to said taxpoyer.
NAME OF TAXPAYER
l..onara J. ~ v~da stein
RESIDENCE ~•~s. ~ 3~~
UNPAID BAIANCE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFYtNG NUMBER OF ASSESSMENT
lal ro? ~ i~) ldl ~e~ :
o++0 12-37r-?o oL~72 3~3-0~9555 86~2.99
~aw l~3]~.6g o~3]..72 343-OL9555 looe.o9 -
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~ PIACE OF FILING
(;~@~(. CilR:ltlt (~iO1Jft l,8'n.~
~ St LUCI6 COUMy TOTAL s _
~ FOrt Pleroe, Florids
~
~ WI7NESS my hond at ~a• , on this,
the dar of , 19 ?2
SIGNATURE 71TLE .
/ ~ , CI?i~l, Of!"las 8r~rtch
~ (NOTE: Certificore of officer ovthorized br law to take acknowledgme~,n n na eue~nd ~o rhe ~o~~dy of IVofice of Federol 1ox lien G.C.M.
Z6419. C.B. 1950-51, 125.) `'f
PART 1-To !w retained by recordin~ oAk~ 600N ~~V V FACE ~ I~~
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