HomeMy WebLinkAbout0678Fore 668 U. S. TREASURY DEPART-tFNT • INTERNAL REVENUE SERVICE Fa Op,.w! Uu ttr R.cadwg Olin.
tREV.B•67) N011CE OF FEDERAL TAX LIEN UNDER INTERNAL REVENUE LAIMS ~ 0 AND RECOREi 0~
DISTRICT SERIAL NO. 8T LUCIE COUNTY; ~~'
RECORD VERIFIED
A
Pursuant to the provisions of Sections 6321, 6323, and 6323 of the IrTterno) Reve- ~Q~~p
nue Code, notice is hereby given that there hove been assessed under the Internal ~
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Revenw bws of the United Statss against the following-named taxpayer, tuxes li17 8 ~ ~9
(including interest -and penalties) which aher d~nlond for payment thereof remain
unpaid. and that by virtue of the above-mentioned statutes the amount of said taxes,
together with penalties, interest, and costs that nNy accrue in addition thereto, is - RQGER POITRAS
o lien in favor of the United Stotas upon all property and rights to property belo~nq- CLERK CIRCUI
T COU
ing to sold taxpayer. ~ RT
NAME OF TAXPAYER
ri I
RESIDENCE .
3102 Duban Terrace
Fort Pierce, Florida 33450
CLASS OF TAX UNPAID BALANCE
(Tax Return Form No.) PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
(o) (b) (c) (d) (e)
941 Withbolding 03.31-65 04-15-66 59-1086802 $ 747.25
PLACE OF FILING
Clerk, Circuit Court TOTAL s 747.25
St. Lucie County
Fort Pierce. Florida
WITNESS my hand of West Pala Beacb, Florida , on thi:,
the 7tb ~y of August , ~q 69
SI
'~ 7ilONAB C. GjtAVB3 I GQOUP SUPBBV~
(NOTE: Certifieete of officer outiwrised by low to take ocknawledgeierNS is not ess~ntiol to the .alidity
26119, C.B. 19551, 125.)
PART 1-To be retained by recording office
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tics of Federal Tex Lien G.C.M.
6UOK 179 ~~ 6 ~ 7
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