HomeMy WebLinkAbout0178 ,
~ .
_ ~
_ ~,c~:y
Form 668 oEVARtMEtJt OF iNE iREASUiC!-1N1ERrllLL ItEVErruE SERVKE
~r~v ~-~o~ NOTICE OF fEDERAI TAX UEN UNDNt WTERNlIL REVENUE LAWS ~ao~E* ~o~~
~
DISTRICT v. , SERIAL NUMBER ~ ItE~pA,~~yf
R IE~ ~
Pursuont to the provisions of Sections 6321, 6322, and 6323 of the Internal Reve- ~'0 11
nue Code, notice is hereby given thot there have been ossessed under the Inter~al
Revenue laws of the Uniteci States ogainst the following-named taxpoyer, taxes (includ- ~35~9~
ing interest ond penatties~ which aker demand for payment thereof remain unpoid. and
thot by virtue of the obove-mentioned stotutes the omou~t of said toxes, together with ^~~~;hcl<-G~
penalties, interest, and costs that may accrve in addition thereto, is o lien in fovor of
the United States upon all property and righh to Exoperty belonging to soid taxpuye~.
NAME OF TAXPAYER '
_ei:-•-~ i . . ' . .
RESIDENCE
3 ,o • ~
, 1, ~ . . . ~ . - .
UNPAID BALANCE
' KIND OF TAX TAX PERIOD ENDED ASSESSMENT OATE IDENi1FYING NUMBER OF ASSESSMENT
~ la) t~l kl ~d~ ~e~
~
f ! , . _ _ - : . i
~ . .
f
~
i
~ ~ -
~
~
~
~
~ PUCE OF FIUNG
~ (i16i~C. ~iifCUl! CAtlf~ - .
TOT/1l : _ . - -
~ St Lucie County '
~ Fort Pierce~ Florida
~
~ -
~ WITNESS my hand at - - ' ` ' = r~ ~ • ` < , on tha,
~ .
~ . ~r of _ . ~ . . , 19 ~ -
SIGNATURE TITIE
~~;__r,. .~;~c,_
~ (NOTE: ~ertifico~e of ofFicer av o toke ocknowlsdgmenh is nd asentid lo the volidAy of Ndice of Fedrol Tmc Lien G.C.M
Z6419, C.B. 1950-51, 125.) f
~ ~0~~~45 ~?8
PART 1-To b~ ntain~d b~r ncord'inp ofRc~
~
-
~ ;
- a
- ~ -
_ v~~~ ~ _ , _ _ a