HomeMy WebLinkAbout2676 Form 668 oEVAIttMErrt OF lHE TREw:ukr-wiE~tv/u kEVENU: SEtMCE For Oprianol Ure Br Reca?dmg
{~v t-~o~ NOtICE Of iEDERAI TAl( U~1 UNDER INTERNAI REVENUE U1WS
DISTRICT SERIAL NUMBER ~ ~
JAqCSC~iVILLE, FLaRIOA K;Ci~C
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Pursuont to the provisions of Sectic~ns 6321, 6322, and 6323 of the Internol Reve-
nue Code, notice is hereby given that There have been assessed und~r the Internal
~evenue I~ws of the Un~ted States against the foliowing-named taxpayer, taxes (includ- r
ing ~nierest and penaliies) which after demand for poyment thereof remai~ unpcid. ond
that by virtue of the above-mentioned stututes the amount of wid taxes, together with
penal~ies, interest, ond costs tl~ot moy acuue in oddition ihereto, is a lien in fovor of
the United Stotes upon all property and rights to property be~onging to wid taxpayer. 23~06
NAME OF TAXPAYER
Charley 8 Almena Golden
RESIDENCE
2807 Avenue E
Fort Pierce, Florida 33450
- UNPAID BAIANCE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
la) (~l k1 Id) le)
f 1040 Income 12-31-?1 06-05-72 430 62 6094 $ 1T3.14
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PLACE OF FILING
;t Clerk~ Circuit Court TOTAI s 173.14
Lucie Cannty ,
~ Fort Pierce Florida
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WITNESS my hand ot West Palm Beach. Florida a?
the daY of SeRtCID~~T , fD~
- SIG UR / i . T1TLE
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THqNAS C. GRAVES GROUP SUPERVISOR
f NOTE: CertiRcate of olPicer outhoriied by law ro take ocknowledgmenls is nof ess~ntid to the vaGdify of Notice of Federd Tax lien G.C.M.
26419, C.B. 1950-51, 125.) n R ~h~
PART 1-To b~ ratainod by roconl~n~ ofRu 6GuK r~•'~~`-
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