HomeMy WebLinkAbout0786 OBAMT1ABIt OF 1ME TIIEr1SIN11? - YR9pNl IIEYf11iE Sf~VItE For Optional Use By Retording OHite
~R~ ~i~? NOTICE OF FEDERAL TAX LIEN UNDER INTERNAI REYEMUE LAWS i tE0 ANO RECOR ED
OISTRICT SERIAI NUMBER ~UC~E COUNTY
R~CER i0!TplS
Jacksonville CLE~K ~~~T ~QU~
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Pursuant to the provis~ons oi Sections 6321. 6322. and 8323 ot the Intemal Revanue
Code. notice is he~eby given that there have been assessed under the intemal Reve- SEP I~I 2 52 P~ f'$
nue Isws of the United States ageinst Me folbwing-named taxpayer taxes (including
mterest and penalties) wh~ch aher demand for payment thereof remain unpaid. and
that tiy virtue of the above-mentioned statutes the amount o( said taxes. together with
penalties. i~terest. and costs that may accrue in addition thereto, is a lien in favor of 41~103
the United States upon all property and rights to property belonging to sa~d taxpayer.
NAME OF TAXPAYER
Dillard Martin Collier, Jr. 41'7103 ~
RESIDENCE .
P. 0. Box 3988
~ UNPAID BALANCE
KIND OF TAX TAX PERIOD ENDED DAtE OF ASSESSMENT IDENTIFYtNG NUMBER OFASSESSMENT
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~ 1040 12-31-76 08-21-78 261-66-5842 $1,106.37
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~ PLACE OF FILING Clerk of Circuit Court ~
- S t. Lucie County Courthouse ToTA~ $ 1,106. 37
Fort Pierce, FL 33450
~ Fort Pierce, Florida ~
` WITNESS my hand at . on this. -
_ the 11 th day of S~ t . 19 7 R
:;5 .
~ SIG RE TIT~E
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Revenue Officer
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~ ( TE GrtA~its o~ off~cer aut by law to tske acknovvbdprt»nts ~s not esssnt~sl to tM vahd~ty of Not~u of F~Mrsl Ta: t,sn G.C.M.
2 19. C B. 1950- ~ 12 51
~ART 1- To be rotained by rocording office ~Q~~~ •
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