HomeMy WebLinkAbout1103 Form 668 OEPMtTMENT OF TNE TitEASURY-INTERNAL REVENUF SERYICE Tor OptioreOl USe By Recadng Ofi:ce
~~v. t-~oa NOTICE OF ~EDERAI TAX IiEN BfidaER INTERNAI REVENUE IAWS
fiLEOI?NQ RECOR~~
DiSTRICT SERIAL NUMBER ST. WCIE COUNTY fl .
ROCER ?OITRAS
CLERK ~i::CUit ~OURT
Punuant to the ~xov~sions of Sections 6321, 6322, and 6323 of the irternol Reve- PECQRD YEP.iFIED
nue Code, not~ce is fiereby given thot th;;ra have been assessed under the Internol
Revenue law~s of the United Stotes against the following-named taxpoyer, taxes (includ- ' 8 4 is PN ~ 1~
ing mte?est and penalties) which after demand for poyment thereof remain unpoid, ond
that by virtue of the above-mentioned statutes the amount of soid taxes, together with
penalties, interest, ond costs that may accr~~e in addition thereto, is a lien in favor of ~~~~a
the Uniteci Stotes upon oll property and r~ghts to ~uOpB!y ~BlnnJint3 f0 SOU~ tpz~UYP1.
NAME OF TAXPAYER
Simeon 8 A
RESlDENCE
2410 Coral Avenue
F r Pi r
UNPAID BALANCE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIfYING NUMBER OF ASSESSMENT
' lol (bl k) Id1 IgI
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1040 Income 12-31-71 05-15-72 261 14 4190 $ 1,785.25
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~ PtACE OF FIUNG
; CLerk, ~ircuit Court TOTAL : 1,785.2~
~ St. Lucie County
Fort Pierce Florida
WITNESS my hond at West Palm Beach~ Flerida , on thn,
SOfi1i~.V ! #'JIt,'f,Li~
rhe ~ day of ~tober , 19 72
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S1 uRr~~~ ~ . T1TlE
'I~IOMAS C. GRAVES
(NOTE: CertiFicate of off'icer authorized by low to toke ocfcrawledgmen~s is not essentid ro the voliddy of Not~ce of Federd Tax lien G.CM
26119, C.B. 1950-51, 125.j
PART 1-To b~ ~ete,ined by roconlin~ oAk~
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