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HomeMy WebLinkAbout2964 e - ~ " ~ - - ~ - ~ form 668 ~EPARTMENT OF THE TREASURY-WiERNA~ REVENUE SERVICE fw Qptiona/ Use 8y Recnidrng Of/ite _ - tREV.2-~~1 NOTICE OF FEDERAL TAX i.IEN UNDER IMTERIIAI REYEiIUE LAWS fi~E~ ~,y~ AEC~ROEO DISTRICT - SERIAL NUMBER ST. tUC'~ =;OUNTY FLA. JA(x.SG11YILI.s ~~~~~rr, ~~oit~as ' . . . . c~eh~ cc~~;u;t couRt ~ , ~~16.:: L';.•; FIf~~._, , ' ~ Purs~antlolheprovisionsof$octlons6321,6322.and 6323 of the Internal Revenue Coc~e, notice is hereb ~ven that there have been assessed under the Intarnal Reve- Q ~ nue lov~s of ~he Uniled States against the following-named taxpayer, faxes (including A~-~~ I~ ~3 f H~~~ ~ ' interest and penaltiesj which ofler demand for pa~jment fhereof ~emain unpoid, and ~~~?~I . ~ Ihot by ~ir~ue oftheabove-mentionedstatutestheamount of sald taxes, together with ~ ~ penalt~es, inieresi, and costs that muyaccrueinaddition fihereto, Ts a Iten Tn favor of ; Ihe United Stotesuponollproperlyand~lghtsto properiy belonging to soid taxpayer. ? :7 - . NAME OF TAXPAYER ~ - ~ - 81Lr3~ ~ Mar3+~ 3~d _ ~ _ - RESIDENCE 0 - F`t Pi~eO~~ Fl 33~52 . ~ _ - UNPAID BAIANCE - KIt~D OF 1AX TAX PERIOO ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSh1ENT ~a) . (b) (t~ (d] ' ~e1 ~ ~.~1'Q 1?~.~~ ~V'*.~++..~~ ~j~8`~j - ~ ~ ` . _ _ . - - _ , . . ; PLACE O~ FILING ~ ~~t (~t3't ~ _ ~ - $t Ls~ QOAtt~'t~? TOTAI ~ 9~"j.$5 _ - ~ ~ : I~t I'S~ro~, ,~].n - _ _ - ~ ~ - . . _ ~ - . _ . _ ~ _ _ - ~ - ~ ~ WITNESS my hand at ~i'• ~'a`i~ , on thls, ~ - - - _ ~ . the ~~day ot 197~ - - " > _ . _ _ ~ _ . _ - - s " SIGNATUR~ TITLE _ - : /1' , c~ ` _ Chi,t~ Oftir.~ ~ranoi _ _t C/ _ ' ~ " ~ (N01E: C~rtdico~~ ol oHk~r av~hor4•d by b~r to ~ak~ ucknv,?I~C9m~n1~ H no1 ~u~nifol to tfi• voitdity of tJotk~ of f~d~rol Tox Li~n G.C.M. ~ 26419. C.B. 1950-51, ~2s.~ = - ~ ~ _ . PART 1-To b• refain~d by rtcording offic• 600 ~ _ .