HomeMy WebLinkAbout0061 i . . .
r a
~
~ 4390~59 '
Form 668 ~Rma~t ot tM TreasurY • I~t~mal Rsvsnue 8wvic~
(Rw.Septanber1~78) Notice of Federal Tax Lien Under internal Revenue Laws
District Serial Number Fo. oa,awr us. or A•~o.a~~ onk.
Jacicsonville
As provided by sections 6321. 6322. and 6323 of the Intemal Revenus Code.
notice is given that taxes (including intere9t and penalties) have been assessed
against the following-named taxpayer. Demand for payment of this liability has f tLEO AND• R~COFtD~01
been made. but it ~emains unpaid. Therefore. there is a lien in favor of the United ST. ~UC!E COUNTY:~F1.A
~
States on all property and rights to property belonging to this taxpayer for the N~ C 0 RD V E R ~
amount of these taxes. and additional penalties, interest. and c~osts that 4~ p
5
y
i
' T 9 M A
R 29 P N 2: 03 ~
Name of Taxpayer '
David ;s Perl~..ns ~~r,c~ YptTP:.- $
R~~~ CL~AK CIRCU{T COUR+ ;
,i~1~ I•:aple Terrace
,
Unpeid Bala~e ; ~
K~d of Tax Tax Period Eoded Dets ot Asssssment ~da~tli~lin~ Number of Assessment ~
c.u ro~ c~~ ~a~ cu '
~ 941 063-1_7g8 p9~-014~-78 01-031:5000 1,183.08 ;
j 941 34-7 " 1,1+79.07 ;
~ 941 ~9-3a-78 11-13-78 965•31
:
~
~
~ Place of Filing
; Clerk of Circuit Court T~~ = 3~ 6~~ ~
~ St. Lucie CowYty Courtiiouse ;
F Ft. Pierce, F1. 33450
~ -
~ -
~
~ This notioe was prepared and signed at Ft. Pisrce~ Fl. on this.
~ . _
~ ~
~ the27th day of ~~:arch ~ 9 79. .
~ g• e Title
~ Revenue Ofiicer
~ c«r;ncar a on~.. .~n .d er Nw ro ak. .ox~+o..r.ovm.~n K rwr ~s.mw ro ~n. ~aiwrh? a No~• a
Tu LNn O.C.M. 28419 t. C.B. f23.) ~ ~
'~f~
~ Part 1- TO be kept b~? rocordi~q oitbs Fo~m 668 (Rev. 9~78)
a
- - ~
. ~ 4'ti' A X .
~'w"~'~ »a^`t .S` . _
. ~~~~K...-w~~~'.'~.n u3'..r~ n.. ~ ' Cy-x•,..