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HomeMy WebLinkAbout0206 FOrm GG8 OEPARTMENT OF THE TREASURY-NTERNAL REVENUE SERVICE Fw Optionol Us By Recpdng Ol~ice ~-~o) NOT{~ OF fEDERAI TAX L~N UND~t ~lTERNAI REVENUE UMIS p' DISTRICT SERIAL NUMBER v i~L~ED at:: RECpROE Jacksonville ~.UCIE COUMIY F`~ ROCca ~OITpAS ~ Punuant to the rovisions of Sections 6321, 6322, ond 6323 of the Internal Reve- ~ ~l€R~ C~'~.C~IT COURt ~ nue Code, notice s hereby given thot there have beeo auessed under the I~ternal RE~~Rn ~E`:'~~c0.~ Revenue laws of the United States against the folbwing-named toxpoyer, tc~xes (includ- y~~ ~ ~O ing interest cnd penolties) which after demand for pa~rment tF~eof remain unpoid. and rt~ 18 ~M ~TS thot by virtue of the above-mentioned statutes the amount of said taxes, together with penalties, interest, cnd costs that may accrue in addition thereto, is a lien in favor of the United Stotes upon al) propery and rights to propery belonging to said taxpayer. NAME OF TAXPAYER - !-±r. p3~~t T ~-~.lTp~:~ ?S TransfAreA In Care of i.trs Sruce Ben al _ RESiDENCE 6811 ~Yestfield . San Antonio TX 78227 EST of Paul T i~~r h Decd-Transfero ; uniPa~ snw~ce KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDB~ITIFYING NUMBER OF ASSESSMENT ~ lal lbl t~! 1~i (e1 ; ; 1296-2a 69os an-3o-~a 26a-6a-co5~r1 2,268.56 ~ ~ [ s S E ~ ~ c a ~ ~ x ti ~ ~.~3 3 ~a ~ ~ ~ PtA~E OF FIUNG Clerk~ Circuit Court - St. Lucie County TOTA~ = 2,263.5b - Ft. Pierce, FL 33450 - vv~TNESS my hand ar ~est Palm Beach, FL , on ~hn, ~ --f s~ the 4th ~y of :•Sarch ~q 75 . ;s~ SIGNATURE TITLE ~"x C. ~7. Carter la Revenue Officer (NOTE: Certificate of officer authorized by law to take ocknowled~menh ~s not essential to fhe vahdity of Notice of Federol Tax lien G.C.M. -~e 26419, C.B. 1950-51, 125.) Q~~r~ p~ M~ ~ PART 1-To be retained by recording ofiice ~ _ - ~ ~ _ _ ~ _,_.x