HomeMy WebLinkAbout1841 •
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Forte 6~ Department of tM Treawry - lotemal Revenw Service
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«„~~,~1e,~, Notice of federal Tax. Lien Under Internal Revenue Laws
District Serial Number Fa• R •
JACKSONVILLE ,
As provided by sections 6321. 6322. and 6325 of the Internal Revenue Code.
~notioe Is given that taxes (including interest and penalties) have been assessed ~ d11lNIN3
against the fdlowing-named taxpayer. Demand for payment of this liability has ,~~g r
been made. but it remains unpaid. Therefore. there is a lien in favor-of the United
States on ail property and rights to property belonging to this taxpayer for the
amount of these taxes. and additional penalties. interest. and costs that may
aotxue. ~~~~8
Name of Taxpayer
FSced L. do Helen Botiman
dba Adam do Eve Hair Styling Boutique
Residence ~ -
2703 s, us 1
Ft. Fierce F1. .33450
. ~ Unpaid Balawe .
Kind of Tax Tax Period Ended Date of AssessrneM Identihlitq Number - of Assessrttertt
(a) lD) [a) (dD
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9cf1 09-30-79 o4-z8-8o 59-65334zi 1,5o7.9z
941 -12-31-79 o4-zi-80 59-6533~?~zl 1,72o.9z
940 12-31-79 05-05-~ 59-6533421 199.93 -
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Place of Filing _ f
Clerk of Circuit Court ~
~ 3t. Lucie County Courthouse Total ; 3,428.7? .
€ Ft. Fierce, 33450
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~ This notice was prepared and signed at ~ • Pierce ~ ~ • . on this.
the 12th day of May .19 ~ •
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Signature Title
Ra Sal Revenue Officer
Mote: C • oNlcer .utAartr.d la. ro 1.1[e acknowbdpmena 1. not e..entM1 to tM ra11dl1y or Narbe of
Fedr.1 7 M.26~10 1pS0.1 1?b.) •
Part 1, - To be kept by . ~ P~ .Farm 618 (Rev. 11~78)