HomeMy WebLinkAbout2671 FOrm 66R DEPAaTMEt~r of THE 'REAS11~r-r~TFRNAI QEVfr+uE SERVKE For Opionol Use 6r Rem~dng OlFice
~R~v. ~-~o~ NOTItE OF ffDEItAt TAX t1EN UNDBt tNTERNAI REVEt~I~ LAWS f1~0 Ati4 4lECORDEO
DISTRICT ST. WCIE ~OUN7Y Fl~. L
SERIAL NUMBER RGGc~ ?"OtTRAS D
JAqCSq~VILLE FLQ'tIL1A CIERx Ct33GUit COtlRt
aEC~R~ vFF'F~EO
Pursuant to the provisions of Sections 632i, 6322, and 6323 of the Internal Reve-
nue Code, notice is hereby given tnot there have becn assessed under the Interno) ,1 'O ~
Revenue laws of the United States against the following-named taxpcsyer, toxes (includ-
in~ interest and penalt~es} which afte~ demc~d for payment tFsxreof remain unpaid. and
that by vi~tue o# the above-mentioned st~tutes the amount of said taxes, togetne.• uvith
penalties, interest, und costs thot may atcrue in additian thereto, is a lien in favor of 239101
the United States upon all property and rights to property belonging to said laxpayer.
N.~ME OF TAXPAYER
Ju e 8 Pearlie 61 Givens
REStDENCE
50? North 12th Street
Fort Pierce Florida 33450
UNPAID BALANCE
KIND OF TAX TAX PERIOD ENDE~ ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
lo) Ib1 k) ld) (e)
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~ 1040 Income 12-31-71 06-05-72 264 46 6293 $ 2,504.92
~
i
I
~ncE oF Fiur~c
Clerk, Circuit Court TOTAI s 2,504.92
~Y~ St. Lucie County
~ ' r e F rida
~
WITNESS my hond at West Palm Beach, Florida on
a
rhe 2~ st doy of te er , 19 ~
~ ~E T1TLE s~ e~
~ 800K~Vll PACt"~,V~
(NOTE: Certi6cote of oR'icer a~thoraed by law to take odcnowledgme~h is nd essentid to the val~day of No~icrof Federol Tax lien G.C.M.
26419, C.B. 1950-S1, 125.) f
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PART 1-To be rNa~wd br racordinp ofiice
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