HomeMy WebLinkAbout2678 Form 668 OEPARTMEM OF THE TRfASURr-WTEI~VAL REVENUE SEiNKE Fw Opfionol Use 8y Recading O(~ice
(REV. 1-70~ NOTICE Of F~DERAI TAX L~1 UNDER INTERNAL REVENt~ UIWS
DISTRICT SERIAL NUMBER F1LE0 AMC RECORpE
St.lUC1E GOUMTY FL
JACKSONVILLE3 FLaRII~A ROGER PQ~TRAS ~
CLEtiK CI'tCUiT COURT
Pursuant to the prov;sions of Sections 6321, 6322, and 6323 of the Internol Reve- pfCOR~ VEP~FIE~~
nu•~ Code, ~ot~ce is ~ereby give~ that there hme been ouessed under the I~te~nol
Rev~nue laws of the United States agair?st the following-named taxpayer, toxes (includ- ~T ~ ~O ~~~rZ
ing :•~terest urd penalties) which aker demand for payment thereof remoin unpaid. and
that by virtue of tl~e abovemen?ioned stotutes the amount of said roxes, together with
pena~!~es, interest, ond costs thot r,,ay accrue in addition thereto, is a lien in favor of
the ;;nited States upon oll property and ric~hts to property belonging to wid taxpayer. %~39108
NAME OF TAXPAYER
James L Sruith
Smiths Turnpike Service Center
RESIOENCE
Route No. 4, Box 610 -
Fort Plerce, Florida 33450
UNPAID BAIANCE
KIND OF TAX TAX PERlO~ ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
(al rol kl Id) lel
I~ 941 Withholding 09-30-71 09-11-72 59-1213751 $ 894.48
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~?cf oF Fiur~c
Clerk, Circuit Court ' TOTAL S 894.48
6~ St. Lucie County
~ Fort Pierce, Florida
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~ WITNESS my hand at West Pa lm Beach Florida , on ~h~s,
the ~th doy of September , 19 72
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E ~ ~ ' ~ 6o~x206 PA~E2674 _
~?S ~?~FS
(NOTE: Certi6cate of officer wthorued br law Fo toke ocknowledgmenls is no1 ase~id to the volidity o# Notiu of Fsderol Tax Lien G.CJuI
26419, C.B. 1950-51, 125.)
PAttT 1-To be rotai~wd br rocordiag ofRc~
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