HomeMy WebLinkAbout1240 Form 668 DEPARTn~fNT OF iHE TREASUFY-NTEItr~ILL tfVENUE SERVICE For Opfiww! Use sy Racwdny Ol~ic+~
~r~v i-~o1 NOTKE OF FEDERAL TAX UEN UNDHt iNTERNAI REVENUE lAWS 4Lp~1~M~ ~R~~R~~~-
DIS7RICT SERiAI NUMBER tM~L.64~ Y
Jacksomrilla ~B~~N ~~3i-RA3
aLE~K ~t:;;,Uir CoURt
P~;rsuant to the provisions of Sections 6321, 6322, and 6323 of the Internal Rev~ 1~f~CFf~ yf.G~= ~ED :
nve Code, notice is herebY given thot there have been ossessed under the Internol ~~f 8•j ~H
Revenue laws of the United States ogoinsl the following-nomed taxpoyer, 1oxeS (includ- L
ing interest and penalties) which aher dem~nd for payment thereof remain unpaid. and
thot by virtue of the above~mentioned stotutes the amount of said toxes, together wi!fi
penaities, interest, and corn that may accrue in oddition thereto, is Q lien in favor of ~_w `O~
the United $tates upon all property and rights to properiy belonging to said taxpayer. ~~j~jL~
'~lAME OF TAXPAYER y~lliatn J K68rie
RESIDENCE - 3(~p1~ Avenue J
F`t Pierce Fl 3345~
' UNPAID BALANCE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIfY1NG NU~~BER OF ASSESSMfNT
~a) ~b) ~d) ~e)
1040 12_31_~1 06..0~72 0?9-32-3165 1.134.49
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PLACE OF FIUNG
~ Clel'k~ CI~CUIt COUft
~ S~ l.uCle CoUCity TOT~ S 1,134•'w9
Fort ~ierce. FloNde
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~ WITNESS my hand ot ~ , on this,
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~ rhe 14th ~r of Noveo?ber , 19 72
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~ SIGNATURE T1TLE
Chiaf, Office Branch
(NOTE: Certificote oE ofhcer authorized by !ow to toke ackr?owledgmenh is nat essentiol to the validity of Notice of Fedaoi Tox tie~ G.C.M.
~6419. C.B. 1950-51, 125.)
PART 1-To be rstained by r~cordiny offic~
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