HomeMy WebLinkAbout0496 fOrm bS8 OEPARiMENT OF iHE 'RE/lRl[Y-YJiERhAI RfVENt1E SEFVKE For Oprbnal Use @~ Recordng OlFce
~aFv. t-~o) NOTKE 0~ ffDERAI TAX UEN UNDBt IN'tERNA! REVEMUE tAYVS F EO aH~
11k1E C UN Y FL~.
DtSTRIC SERIAL NUMBER ROCE^ ~~~'aAs
Jancsonvflle! Fla. c ER~ y~~~y~~T ~QLaT
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Pursvant to the rovis~ons of Sections 6321, 632Z, ond 6323 of the Intern~~ Reve- 8
aue Code, noti_e ~s hereb rven that there have been assessed unde~ the ~nternai
~ P Y 9 ' ~2 ~6 ! N ~ ~
Revenue laws of the Un~ted $tctes ogainst the folbwingnumed taxpoyer, taxes (inciud-
ing interest and pennlties) which oRer demand for paymeM thereof re~nain unpaid. and
thot by virtue of the ab~vementioned statutes the amoun' oF said taxes, togelher with _
pe,~a(t~es, interest, ond costs that moy accrue :n addition thereto, is o l~en in favor o4
the Unitesi $totes upon all property ~nd ri~hts to property belonging to said toxpayer.
NAME OF TAXPAYER
Archie Oouglas Isom Chauncey "
?reasure Coast Glass 8 Awning Co.
RESIDENCE
3941 S. Federa 1 H~y
Ft. Pierce~ Fla. 33450
UNPAlD 6ALANCE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATF IDENTIFYING NUMBER OF ASSESSMENT
~a) (e)
j 941 03-31-73 03-2r74 59-12"15b09 S3s'468• 19
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PtACE OF F~uNG C1erk,Circuit Ccurt
St. I.ucie County TOTAL S 3,468.19
Ft. Pierce, Fls. 33450
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WITNESS rrry hand at W@St PB~~ BNCh. F18• , on this,
y ~ 28th ~y of Jurie ~ 9?4
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SIGNATURE ~ TITIE
c. a. st~~ Acting Group ~lanager
(NOTE: Certificde of officer outhoraed by low 1o take ocknowledgme~h is not esseMid to the volid+ly of Nolice of Federd Tmc lien GCJrI
26I19, C.B. 1950-51, 125.) ~ ~
PART 1-To b~ retain~d b~? recordin~ ofRcs
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