HomeMy WebLinkAbout0738 _ 3~13'7i ~
Fo~ es~ o~ruv~r+t cF nf t~?wer-~rr~wu ~veaue s~v~ fo+ov~~ uf. ar R.oo.a~y or?rc.
(REV. za~l NOTICE OF FEDERAL TAX L~N rNDER INTERMAL ~E LAMMS
DiSiRlCT ~ SERIAL NUMBER ~ ~r
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Pursuont Io~hepro~istonsofSecNons6321,6322.and 6323 of tha Internot Revsnue
Code, notice is hereby given that Ihere haveb~on assessad under ths Internal Reve- ~~w
~ue laws of the U~tted Stotes ogoinst the followin~-nomed fwcpayer~ taxes (includi~g ~
~nterest ond penaltiss) whtch after demond for payment thereof remoln unpotd, ond
thot by ~irtue oftheobo~e-meni~onedstatutsstheamount of saW taxos, togather with '1
penol~ies, tn~erest, and costs thot mayaccrusTnaddffion fhereto, is a Il~n In favor of
~ the United Slates upon ali properFy and rightsio propsrty bolonglnq to safd taxpoyer.
~ NAME OF TAXPAYER
John F Flaor~lc
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RESIDENCE
129 wistaor3a Ave ~
' ~ F`t Fisaros • P7. 3~?50 ;
UNlPAID BALANCE
KItJD OF TAX TAX PERIOD ENDED DATE OF ASSESSMENT lDENT~1fING NUMBER OF ASSESSMENT
lal tb) k) id) lel
1W~4 ' 12•3L~0 08.28-72 269~-28..0006 6Q.49
1040 12•3L.?l 08.26-?4 269-28,.0006 30•41 ;
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PtACE OF FILING ~~t Colitt
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St Luo3~ Oount, TOTAL ~ 90.90 ~
Ft Pie~'c~, FL? ~
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the~_dar of .lul' , 19 'j5 ~
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SIGNATURE TITLE _ ~
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(NOTE~ G?txiwb of olfk~r a~/Aor4~d by b~ fo tak~ ocknowl~d9~+~Ms M na .a•Mb) w ih• ~olb~r of No~k. ol F.d.ral to: tNn G.CJ1~. ~
26119. C.d. 19SO~S1, 12S.) _ ~
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PART 1-To b~ r~fain~d by r~tording offec~ 8~11~~~ ~
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