HomeMy WebLinkAbout1501 Form 668 DEPARTIu1ENT OF THE ?REASURY-tNTERNAL REH;NV= SERVlCE For Opfionol Ufe By Rlcording O(~ice
f~~• ~-~ot NOTICE OF fEDERItt TAX LtEiN UNDBt INTERNAt REYENUE LAWS
DISTRICT SERiAt NUMBER ~
'acksonville florida ~t~~~
Pursuant to the prov~sior.s of $ections 6321, 6322, ond 6323 of the lnternol Reve-
nue Code, ~otice is hereby given th~t ~here have been assessad under the Interno) ~~RK ~j
~~q~M~LOtlRT
Revenue lows of the 11~:ited Stotes against the following-named toxpoyer, taxes (includ- QR~ yfRlflfO
ing interest ond pena}ties) which after demond for paymenf tN.ereof remoin unpoid. and ~~i
that by virtue of the abov~mentioned stotutes the amount of said toxes, together with ~
penatties, inlerest, and cos!s that ma; accrue in addition thereto, is a lien in fovor of
the United Stntes up~~i a~l property and rights to property belonging to said taxpayer.
NAME OF TAXPAYER ~
MS Industries International Inc.
RESIDENCE
210 East Weatherbee Road
Fort Pierce Florida 33450
UNPAID BAIANCE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTtFYiNG NUMBER OF ASSESSMEN7
(ai (b) k1 (dl (e)
941 Withholding 03-31-?2 Q8-28-72 59-1312533 $ 3,165.79
941 Withholding 12-31-71 08-28-72 59-131?533 3,763.20
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` PtACE OF RLING
Clerk, Gircuit Court TpT/LL : 6 928.99
St. Lucie County ~
Fort Pierce, Florida
vv17NESS my ho~d a? _ West Palm Beach~ Florida , on H,~s,
' ???e _.12~tL dar of September, 1972
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_ % ~ 800K ~i!(~
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g (NOSE: Certi6cote of officer ou ' ed br !ow to toke ockrwwledgments is not essentid to the volidiry of Nofice of Federol TQZ lien G.C.M
, 26I19. C.B. 1950-51, 125.)
PART 1--To be retainQd br roco~rp oA4cs
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