HomeMy WebLinkAbout2489 i Fom~ 668 4Eh1lTA1ENi Of iTE TREAS!/[/-lN7ERNAl RFVENUE SERVICE Fo. Op~pnol Use ey Reco~dMg OtFaY
t~Y ~-~fl) NOTICE OF ffDERAt TAX tld~! UNDER INTERNAI REYENUE LAWS -
D~STRICT Jackaonville SERIAL NUMBER ~
LE~ AAO RfNTY f~A. ~
~~.ii1ClC ~QU
Pursuan? to the prov+s:ons of Sections 6321, 6322, a~d 6323 of the Internol Reve- Rp6EF ?4?TRA:
nue ~ode, notice is hereby given that there have been assessed under the Interna! CIERK C~:~CUIT COURT ~
~evenue'ows of the United Stotes ogoinst tl~e foltowing-name~ laxpoyer, taxes (includ- REC~RD YER~'iEO.,~..~..~
ing interest and pena(ties) which after demand for papment thereof remain unpoid. ond ~ f ~A S'
thal by v~rtue of the above-men~ioned stotules the umount of snid roxes, together with
penalties, interest, and cosh thot mdy accrue in addition the~eto, is a lien in favor of
!he United $totes upon o!1 property and rights to property belonging to said taxpayer. ^ w~+O
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NAMF OF TAXPAYER F~~c P& 8arbara L Kolesar
REyDENtE ~u~ r~
Fort Pieres Fl 33450
UNPAID &4LANCE
KiND OF 7AX Ti4X PERlOD ENDEO ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSM[NT
la? lbl (~1 (dl lel
1040 ]z_31~71 0~2~~2 296-32-0333 3.000.00
PUCE OF FIlI1VG
CIBrk. CIfCUIt ~.'pltft
St LuCiA COUMy TOTAL s 3~ ppp, pp
Fort P1eroe~ Florlds
WITNESS my hand at ~ , on this,
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; ~ 1Bth ~Y of October ~ 972 ..$OOK
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( TE: ifcate oH'icer ou?horuet! by !aw to toke ocknowledgmenh is not ntiol fo the validity of Notice oi Federol Tax lien G.C.M.
E 26~19, .B. 1950-51, 1~5.) " •
` PART 1-To be ntai~ed by racordin~ ofBce
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