HomeMy WebLinkAbout0298 Fonn 668 o~+t oF n# ne~?wer-~+rEr~ ~v~uE s~e~ fa qv?~ond u+~. h~~v ~
{REV. 1•701 ~ ~ ~ (~pQ ~ ~ ~o
DISTRKT SERI/1l NUAABER ~ , . • R .
' 0!E CtRCrIT ~OrRT
~Fcoqn VER+F~Ep
Punuont ro the provisions of Sections 6321, 6322, a~d 63T3 of the tnternol Revs.
nue Code, notice is heroby g+ven tFwR fl~s have been atsessad undar the Intenw{ ~
Revanue Icws of ths United Stotas agoir~t the folbwi~g-eomsd taxpayer, taxes (intlud- ~
ing iMerest and ptnatiies) which aNer de+nand for poyme~~t N~ereof renwin vnpoid. and _
that by vi~lue of ths obove-mentioned statutes ths omount of wid taxes, togeM~er with
psnohies, interest, and costs that ma~r occrue in oddtion thsreb, is a lien in fmrw oF
the Unibd States ~upon dl properry and righls to properly belongin8 b sc~id toxpa~rx.
NAINE OF UXPAYER Q.=00:0 dt ~'1aQ'otr~ BODd ~1~~ -
RES~°~cE ~ 3 Bao~ t~90-1 ~
Ft Piea~os~ A. 33~450
tn~Pa~ ~~r~cE
KIND OF TAX TAX PERlOD ENDE~ ASSESSMENT DATE IDENTIFYING NUM86t OF ASSESSMENT
ia) i~i i~l id) iel
1Q1~ 12-31-?lt o5-16-7'j ?,39-32-3439 1,027.61
; 1a4iD 12-31-75 ~4-27-?7 • 947•15
1 W~0 12-31-?6 Oil~-18-~'t • 471.39
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PucE oF pur~IG -
~ C18rlt. CiR:uR COIY't TOTA1 = 2 .
St Ia,c~e Cowrty . s4~•~5
Fat Pleroe, FloHds ~
WITIVESS nqr hond at Mia1d, p'l. , on ihi:, _
the ~ dop of , 19 ~
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SfGNATURE TITIE .
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. (NpTE~ ~ aN b'p «knowldpm~nts is not eu~ntial to tl~_yQli~r of No~ia of fedad Tax li~n G.C.NI ;
26419, G.B 9 Sl, 125.)
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t_,e-..:~ PART 1-To b. ntaL+.d b~r nconiin~ o1Rc. 6001~ f~ / 1G PAGE ~t70
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