HomeMy WebLinkAbout2106 Forth Department of the Treasury -Internal Revenue Service
(Rev.September1978) Notice of Federal Tax lien Under Internal Revenue Laws
District Serial Number For oorionaf use Dy aacordin9 Office
Jacksonville Fle
As provided by sections 6321, 6322, and 6323 of the Internal Revenue Code.
notice is given that taxes (including interest and penalties) have been assessed Ft± Efl «l:D RFcoReEO
against the following-named taxpayer.. Demand for payment of this liability has C ~ ~ COUNTY, Fl.~.
been made, but it remains unpaid. Therefore, there is a lien in favor of the United „ . . ~ 4~ ! r , ~ t, . ,
States on all property and rights to property belonging to this taxpayer for the
amount of these taxes. and additional penalties, interest, and costs that may 4~~a~v
accrue. '79 ~)AR 26 AM ~ : 35
Name of Taxpayer
Hardy &.~attie S~xtton~ Jr. _ _
Residence 903 Avenue J CLCRK C,RCL'lT COURT
Fort Pierces Fl. 33450 .
Unpaid Balance
Kind of Tax Tax Period Ended Date of Assessment Identifying Number of Assessment
(a) /0) lc) [d) /e)
1040 12-31-75 07-21+ 78 253-42-9760 ~53•~5
104tJ iz--31-77 Of~-12-78 253-42-9760 329.83 -
i
c
~ _
a
Place of Filing Clerk of the Circuit Court
4
b`t. Lucie Co~.uity Courthouse Total = 1,183.68
Fort Pierce, F1 33450
This notice was prepared and signed at Fort Pierce; Florida , on this,
the-2a1~ day of 1~_ ,19 ~
~ Si Title
p ~ 3evenue Officer
i
r OteC Gerrit t of O/IICe/ suthoNzad t/y taw to taRe ecknowledpmenfa not ssa ntiaf to the validMy o/ Notice o/
edaral Tax o.C.M. 2t34f9, t~54f, C.B. 125.) f: l?a
Part 1- To be kept by recording office. , orm 688 (Rev. S-~e)