HomeMy WebLinkAbout0143 a
•
Form 66B DEY~lt~rwfNT OF TME TIlEIISUQY-l1TEE,lA1 RfvENUE SERVKE Fw Op?~orw1 Use By Remrding r
{tt~v. t-loi NOTICE Of FEDERAI TIU( L!Q! UNDER INTEttNAI REVENUE IAWS F :
~f0 ~
DISTRICT t SERIAL NUMBER ST , rY`1 F(„{_
JACYSOhVILLE . ~ ;;as
- - . : : ` : t, ~ : uR! ~
Pursuont to the provis+ons o~ Sections 6321, 6322, and 6323 of the Inferna! Reve- ,
nue Code, not~ce is hereby given thot there hove been assessed under the inte:nol J
Re•:enue laws o~ the t'nited Stote> againsf !he folbwing•nemed taxpayer, toxes (includ- G 2? j~H j
ing ~nterest and penalt;esj whic~~ aker demand for poyment thereoF remain unpaid. und
ihnt by virtue oF the ebove mentioned statutes the amount of soid toxes, together with
penoit;es, i~terest, ond costs that moy accrue in oddition thereto, is a lien in favor of
tfie United St~te; upon all prop~ty and rights fo prope~ty belonging to soid taxpayer.
NMAE OF TAXPAYER `~~~,,49 I
~,~gene L. Paige 3~.1~37
RESIDENCE 1236 Ave. D. ,
Ft. Pierce, rl. 331~52
~ UNPAID BAIANCE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
(a1 (bl kl ld1 (el
10lt0 12-31- 71 08- 21- 72 267-18-lt26Q 15.00
" 12-31-72 09-22-75 " 1,137.01
t' 12-31-73 09-22-75 " ~ 671.35
' 12-31-7~ 09-29-75 " 455.66
PucE oF Fiur~c
CI@rlc. ClrcUit Cou~t
St. LuCI@ CoUnty TOTA~ S 2, 279 .02
Fort Pierce, Florlde
1MTNESS my hand ot MieCli~ Fl.
on this,
~ ? 8th ~ of tiobember ~ 9 75
r .
. . -
SIGNATURE T1TLE
Chief, Office Branch
(NOTE: Certificote of ofRcer aulh ed by law to take acknowle~fgmenh is nd ase~iol to the validity of Nolics of Fedsrol Tax Lien G.CM
26119, C.B. 1950-51, 125.~
; PART 1-To b~ rotoin~d by ncarding offic~ RCGK~ x~ FACE ~~3
~ ,
~ - ~ ~ ; .
~ ~~"`s`._~~. ~ y~.~
_ _ _ _