HomeMy WebLinkAbout1500 Form 668 DEPARTMENT OF iHE TitEASURY-aJTEYNAI REYENUE SEfMCE fOr OpfiOnol Use By Qecording OR°~ce
~~v ~-70~ NOTitE OF FEDER/1t TAX t1~1 UNpER INTERNAI R~VENtlE LAYlIS p~~~ ~
~ISTRlCT SERIAL NUMBER i~~ POIT~i
JAACSQJVILLE, FLCRILIA ~#ItK L~RZ1?tT C41l11T ~
REE01tp YER~FtEO~
P~;rsuanl to the provisio~s of Sections 63?1, 6322, and 6323 of the Inter~al Reve-
nue Code, notice is hzreby given that there have been asse~sed unaer the lnternal ~i ~~'j
Revenue Iativs of the United Stotes agoinst fhe foUowing-nomed toxpoyer, taxes (includ-
ing interest and penolties) which ofter demar.d for poyment thereof remain unpoid. and
that by virtve of Ihe obov~mentioned stotutes the omount of soid toxes, together with 2~~0.
pcnafiies, interest, and costs fhat may accrue in addition thereto, +s a lien in favor of
the Uneted. States upon oll p~operiy ond righh to property belonging b said toxpayer,
NAME OF TAXPAYER
George 8 Mary Bomoan _
RESIDENCE
Route 3, Box 510
Fort Pierce Florida 33450
UNPAID BAIANCE
KIND OF TAX TAX PERIOD ENDEO ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
lal (bl i~l - (dl le)
1040 Income 12-31-71 05-01-72 258 48 0697 $ 438.31
1040 Income 12-31-70 05-07-71 258 48 0597 18.35
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PCACE OF FILtNG ,
Cierk, Circuit Caurt TOTAI S 456.66
St. Lucie County
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I~ West Palm 8each, Florida
' WITNESS my hand at , on tha,
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f ?he ~ f September, 19 3~
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~ SIG TIAt - T1TLE 0 ~
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I (NOTE: Cutificate of of~er authorized by law to toke acknowledgments is nd essent~al to the vatidity of Notice of federd Tmc Lien G.C.M.
~ 26419, C.B. 1950-ST, 12i.)
! PART 1-To b~ rNained by ncordirq ofRca
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