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HomeMy WebLinkAbout1187 ` - ~ - . ' , - = - - - . : _ _ . . _ _ _ _ . - - - _ - . . . 3a~o~ ~~t ~ . FOrm 66S DfPARTMENT OF THE iREA5l1RY-fNTE~lAI RfYENUE SERVKE For Optionol Uu 8y Rocordny OfRce 1 _ ~REV ~.~oy NOTIt~ ~F fEDERAt TAX UND~ tNTER1~Al REVENUE LAWS ~@~ ~ - s. DISTRICT . SERIAL NUMaER . ~ ~ ' q.~Rx Clii~fil~ C4iiRT ; - ~ REC0~8'~~81ftf~ ~ _ Pursuant to the provisions of Sectians 6321, 6322, and 6323 of ihe lnternal Reve- : - nue Code, notice is hereby given thoF there hwe been assessed unde~ the Internal Revenue lows of the United States agtiinst the follow'tng-named taxpayer, taxes (i~clud- . i~g interest and penalties) which aRer demand for payment thereof remain unpaid. and ` ~ _ : ~ that by virtue of the above-mentioned statutes the amount of said tuxes, together with ~O~Q~~y penalt+es, interest, and costs thot may accrue in addition thereto, is a lien in favor of _ ~7 I the United States upon all property and rights to property 5elonging to wid taxpaye~. . NAME OF TAXPAYER - - ~~~_L~ Htooka ~ RESIDENCE - 1904 A~tiou~ = . - ~ UNP~,lD BALANCE ~ - KIND OF TAX - TAX PER10D ENDED ASSE~SMENT DATE IDENTiFYING NUMB~R OF ASSESSMEM' } ~ ~a) ~b~ ~d) ~e~ ? 104~ - 12•31»72 02~25~75 - - ZS9~12•7'767 ~393.07 1040 12•31•73 03»10•75 259~12~7767 294.82 j ~ - . ~ ~ ; - _ ~ _ - . ~ _ f ' f _ . . ~ . . . . F . - - 3 ' ~ f ' - - . i ~ . . _ ~ - ' ~ ' ~ . - ' ~ . PLr4CE OF FILING - - E+letk, Ci1f~CCtltt CiOUft . - ~ - - t~ _ 70TA1 = ~87.89 ~ Sr. luC18 CoUt~ty . - ' . - Fort Plerc-e Flo~ida - _ . 1WITtVESS my hond at l~liasi ~ llatids , - , on fhis, . ~ " ~ - - ~ - : the dap of , 1 q 75 . - - - - SfGNATURE _ T1TLE _ i • K~L ~~U~`' Aat~n t~i~t 0~!'ta~ Dacsnch ( : Ceifrficvte of officer ovtFwrized by bw io toke oeknowledgmsnts is not ess~nFid to ths volidA~r of Nafice of Federd T~c lien G.C.M t ; 2 1S, C.B. 1950-Si, 125.) - _ O R ~ PART 1---?~r b~ refain~d by racor~dn9 ofAc~ 6~i( FrzlJ