HomeMy WebLinkAbout2778Fonw 666 U. S_ TREASURY DEPARTMENT - 1NTERNAI REVENUE SERVICE
fREV. &67) NOTICE OF FEDERAL TAX l1EN UNDER INTERNAL REVENUE LAwS
DISTRICT SERIAL NO.
Purswnt to the provisions of Sections 6321, 63Q2,~nd 6323 of the Internol Reve-
riw Code, nofic• is h~rebr given that there hove been assessed under the Internol
Revenue lows of the United States against the following-named taxpayer, foxes f~
(including interest and penalties) which after dewond for payment thereof remain
unpoid,•and that by virtue of the above-mentioned statutes the amount of said foxes,
togethttr with penalties, interest, and costs that mpg accrue in addition thereto, is
a lien in favor of the United-States upon all property and rights to property belong-
ing to sold taxpayer.
NAME OF TAXPAYER
lrat s ~swas
!06 ~tla>,ti4 ~irorlwo
!art >li~soo, llosiaa 334so
Far anerl Use Br Raardrq pfr ce
FILID AND RECORDED
ST, LUCIE COUNTY. FLA.
{f:coo vER:~l~o
183122
I SEP 17 AM 10:59
,ROGER f01TRAS
CLERK CIRCUIT COURT
CLASS OF TAX UNPAID BALANCE
(Tax Return Form No.) PERI00 ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
(a) (b) (c) (d) (e ~
io~o ia... ~ u-3i-6a ~ os-zs-a~
ci.~k, csnst cw~rt
st. Lai. coostp
'loft lior~, Tlosida
:~ os ~o~
s ~s.l-a
TOTAL I S ~se76
WITNESS my hand of Vest ?i 1Vae5, !lo!>tida• , on this .
ths~_day of SMtrlb~t ,19 H
SIGNAfU~~' w~'A~ /,~ TITLE
C "v.~`.saaWSVa`.(/, ~s a~eoos svraa+ruac
MOTE: Certificoh of effieer outherited by law to Coke etknowledga~ents ie net •esentiol to the velid~ty of NMie• of Federal Tox Lion G.C.M.
26.19, C.B. 195x51, tZS.) O e 179 Pacf2776
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PART 1 To be retained by r~conltng office