HomeMy WebLinkAbout0751 Form 668 DEPARTYENT OF tNE ~pEATJRY-INTENNAI REVENUE SERVICE for Opt~ona~ Use B~ Rc+coidin9 Ollice
~Rev. ~2 ~a? NOTICE Of f.EOERAI TAX LIEN UNDER iNTERNAI REVENUE LAYYS
DISTRICT SERIAL NUMBER
Jacksonville
Pursuant to the prov~sions of Sections 6321, 6322, and 6323 of the Internai Revenue 34(I~30
Code, notice is hereby given that there have been assessed under the Internal Revenue laws
o! the United States againsi the fotlowing-named taxpayer, taxes (including interest and T
t~enalties) which after demand for payment thereof remain u~paid, and that by virtue of ~ o~
;he above-mentioned statutes the amount of said taxes, together with penalties, interest, ~y ;m~o.-.*
a~~d costs that may accrue in addit~on thereto, is a lien in favor of the Un~ted States upo~ ~ •
1~`~mmZ
at! properiy and rights to property belonging to sa~d taxpayer. a' n r..
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SVAME OF TAXPAYER p ' ~c
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~.rthur L. ~ ~vi s i~~'~UEii~~ ' ~C ~~>v
C~ Y ~ '
~~S EN i ~
5 ~ 3illiar tive. ~
: ort St. Lucie, ~'ls. 334~~ j ~
~ i UNPAID BALANCE
KIf~iD OF TAX TAX PERIOD ENDED j DATE OF ASSESSMENT ~ IOENTIFYING NU118ER QF ASSESSN1Ef1~T
(a! tbi i Icl ~ Id) lel
- 10L~U-17 . 7203=':06 ~ 6-16-?7 j 116-22-~6~P: ~ 53, 554, 28
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P~ACE OF FIUNG !
~lerk of ;;ircu:.t :ou.~t ~
:it, iucie :,ot;s:ty TOTAL i S 53i 554.2g
P-t, st. Luci=: , ='2oric?~: 33452 ~
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..eibouz'ne, t d.
WITNESS my hand at , on ihis,
22nd Ju;,jr 76
~he day of , 19 '
SlGNATURE ~ TITLE
3evenue Cfiicer
r
(7VOTE Ce.ahcate ot off~ce• aut?: ~zrel by iaw to take ackno+tilvefgments ~s not essenoal ro rhe vat~drt~r o} Not~ce of F~deral Tax l~en G.C.M.
26619. CB. 1950 t, 125.i , f~~
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