HomeMy WebLinkAbout0787 pNMTMBIT pF TI~ TpE/?SIp1l - INTBrW IIE1fB11E i6MCE for Optional Use By Recording ite
tn~.iei~? NOTICE OF FEDERAL TAX LIEN UNDER INTERNAI REYENIIE LAWS
DISTRICT SERIAL NUMBER
tIlEO ANp k
Jacksonvil le ~ Ec~R~Eu
s~ ~uc~E couNrr F~~
Pursuant to the p~ovisions oi Sections 6321. 6322, end 6323 of the Intemal Revenue ~~+E h pGiTp~
Code, notice is hereby given that there have been essessed under the Internal Reve- C~ Fc~` C„ ~
' ` r D
nue laws ot the United States against the tollowing-named taxpaye~ taxes (including .
~nterest and penaltiss) wh~ch aher demand for payment thereot remain unpaid. and SFP
that by virtue of the above-mentioned statutes the amount oi said tanes. together with 2 S2 PM ~
penalties. interest, and costs that may accrue in addition thereto. is a lien in favor of
the United States upon all property and rights to propeRy be~onging to said taxpayer.
NAME OF TAXPAYER ~~71~4
John H. and Rosie Jeffer~on ~1'7104 .
RESIDENCE -
4385 - 23rd Court ~
UHPAID BALANCE
KIND Of TAX TAX PERIOD ENDED DATE OF ASSESSMENT 1DENflFYING NUMBER OF ASSESSMENT
' lsi Ib1 Icl Id) le/
~
~ 1040 12-31-76 06-20-77 258-52-2953 $948.84
~
:
~ ~s
~ ~
~
3
5
±
~
C ~
y ~
~ ~
~
~ ~
~
s
:
~
ti PIACE OF FILING CI.2Y'1C of Circuit Court .
Indian River County Courthouse TOTAL $ 948.84 .
; Vero Beach, Florida 32960
~
- WITNESS my hand at Fort Pierce, Florida , o~ m~s.
~ ~ llth day ot Sept. _ ts -
SIGNATUR TITLE ~
~ .
~ Revenue Officer
(NpTE: CKtA~cste olficsr ~utnora~d by ~sw to tste ac.knowbd9n»nn ~s not ~sssntul to cM vaNd~ty of Notru o/ Fsde?sl Ta~c t,sn v.C.M. _
26419. C.B. 1950- ~25.?
~=k PART 1- To b9 retained by recording offica ~ R j~ P~~€ ~Q„?
y~ g00N 0 ~
~
~ -
- ~ r _ _ _ _ . _ _ ~ - -
~ - ;~~r
{ :
; = ~s F
~ ~ >r
a
~~"`~#~~.~.~~~.''._~:~~-w_..,~.~~~ . ~ . ! ~