HomeMy WebLinkAbout0842 - ~L
Form 5GB DEPARTMEnii Of it+E TIlE/~SURY-M7FiNAl REYENu, x2VKE Far Opr~onol Use 8Y Reoad~ Olfic~ -
~REV. ~-~o~ NOTiCE OF fEDERAI TAX tld~l UNDER INIERNAI REYEI~ IAWS a~,~ "~~'rs~~.~EO
~iSTR1CT SERIAL NUMBER ~~-~IIy+L ~~~1~IiY iL1,, v
JACI:SONVILLE GlE
r.~G.~ :,slt CGURT~fi ~
Pursuanf to the prov~sions of Sections 6321, 63?2, and 6323 of the Internal Revty 4F~~_ ~ Y~~ t~~~ '
nue Code, nofice is hereby give~ that there have been assessed under the Internol ~
Revenue laws of the United States ogainst the following-named taxpoyer, taxes (includ ~i 8 12 03 PH 7 5
ing interest ond penolties) which oRer demand for payment thereof remain unpoid. and
thot by virtue of the above-menlioned statut~ the amount of wid roxes, together with
penalties, interest, and cosis that mar accrue in addition theret~, is a lien in favor of
the United Stotes upon all property and rightsto property belonging to said laxpuyer.
NAME OF TAXPAYER ~~O
James Bert Ooley
J B Qole Yaintin
RESIDENCE gU Box 1712
Ft. Pierce, FL 33452
- UNPAID BALANCE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFlfING NUMBER OF ASSESSMENT
~ iai ro~ <<~ ~d~ ~e~
941 12•31-72 02-24-75 59-1028795 5154.97
941 03 31-73 02 -03 -75 59 -1028795 $168.08
~ 941 06-30-73 02-03-75 59-1028795 $ 84.14
~ 941 09-30-73 02-~03-75 59-1028795 $161.06
~ . 941 12-31-73 02-03-75 - 59-1028795 . $157.56
~ 940 12-31-73 02-03•75 59-1028795 $137.68
~ 941 03 -31-74 02 T03 -75 59 -1028795 $154.08
~ 941 06-3Q-74 02-03-75 59-1028795 $145.73
~ 941 09-30-74 03•17-75 59•1028795 $171.5G
940 12 31-74 02 -24 -75 59 -1028795 $ 86, 63
~
~
~
~
~
~
~ PLACE OF FIUNG
~i19~k. ~i1f~ClJlt ~'OUf~
~ , TOTAL S 1421•47
Fort Pleroe, Flortde
~
_
C~=
WITNESS my hand at Miami Flarida , on this,
~ oCRK~.,v~7 PAfE O
rhe 30th ~ of April , ~ q 75 ' ~
~ y
~ ~IGNA7URE TITLE
~ c%72~, Chief, Office Branch
/ ~
~~fi ~ - _ -
(NOT~: Cerhficote of off~cer autn~xize y aw to take ocknowledgments ~s na MsQ~nol ro rhe vobdity of Nohce of federol Tox lien G_C.M.
264 C.B. 1950-51. 125 J
~
PART 1-To be retained br recording oRKe
~ - -
~ -
r.. ~ ~ s , _ ~