HomeMy WebLinkAbout0579 Fo?m 668 DEPARTMENT OF TTiE iREASURY-PIiERNAI RfYfNVE SEiVICf Fo. Op~~onol Use By Rec«drg OIFce
lR~v ~-~ol NOTi~ Ot~ FEDERAL TAX UEN tiNDBt iNTERNAI REVENUE LAWS
DISTpCT SERIAL NUMBER ~'f~t'itDEO
T. LqC1E ~~U~TIr Rw.
JAG~C LLE FLOEtIOA CtfR~ic~~~ P3!TRAS 1~'~,,-~/
~UiT CDURT y ~
PuRUant to the provisions of SecFions 6321, 6322, and 6323 of the Internci Reve- RECBF.~ yE':r1ED j
nue Code, notice is hereby given thot tnere have be~n auessed under the (nternat Q'
Revenue (aws of the United States agoinst ihe foftowing-oamed taxpoyer, taxes (includ- il~,' 45 AH ~~1
ing interest ond penclties) which aRe? demund for payment thereof remain unpaid, ond
that by virtue of fhe coove-mentioneo s!otutes the amount of soid taxes, togeiner with
penalt:es, interest, on~1 costs that may act~ue in addition thereto, is a tien in favor of 23~6s6
the Unifed Stofes upon ali properiy and rights to property belonging !o soid toxpoyer.
Nq~E OF~~qxPAYEB ~
D~na Moore II 8 Joseph M Diiscoll Jr
Driscol3-Moore ?ransmission Center
RESiDENCE
1910 qceechobee Road
Fort Pierce, Florida 33450 _
UNPAID BALANCE
K1ND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
(a) (b) ~c) (d) (e)
942 Withholding 09-30-69 05-22-72 59-1285558 $ 2,363.53
941 Withholding 12-31-69 05-22-72 59-1285558 2,380.16
941 Yiithholding G3-3I-70 OS-~-?2 59-12R5~58 1,531.60
, 941 Withholding 06-30-70 05-Q8-72 59-1285558 930.57
94I Withholding 09-30-70 05-08-?2 59-128555~ 972.86
941 Withholding 12-31-?0 06-08-72 59-128555a 866.52
~,cE oF Hur~c
Clerk, Circuit Court
9t. Lucie County TOT1u. : 9,045•24
Fort Pierce, Florida _
WITNESS my hond ot _ West Palm Beach, Florida
, on this,
the 7th doy of~ntember , 19 72
StG RE ^ T1TLE
S Q2VISOR
(NOTE: Ce~ficote of ol~'icer autFwrized by law to take acknowledgmenh is nof esseotial to the volidiy oF Notiu of Federal Tanc lien G.C.M.
26I19, C.B. 1950-51, 125.)
PART 1-To be ret~wd by ncordin~ o11ic~ 800il~.W ~'AC2 ~ f C7
. ~