HomeMy WebLinkAbout1186 i ,
~ ~
i
995
Form C~~ ~spaRment of IAe Troawry - IM~rnbl Rovvnw Savics
IRev sea~~.,,~~e, Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number For oariaN+ Uss Dy Rocordrny OffJe~
Jacksonville
As provided by sections 6321, 8322, and 6323 of the Internal Revenue Code.
notice is given that taxes (including interest and penalties) have been assessed
against the following-named taxpayer. Demand for payment of this liability has f iLE_tQ~ ANO' R~C~_F~.
been made, but it remains unpaid. Therefore, there is a lien in favor of the United ST. I-UEIE ~OUN`f A+
States on alI property and rights to property belonging to this taxpayer for the ~ E C O RD V E RII;iED
amount of these taxes. and additional penalties. interest. and costs that may 4a~~~s
acxrue. .
Name of Taxpayer '19 APR 4 ~ IZ : 3S
Jim Powell ~
Powell's American ROG::R ~O.TR.tiG
Residence CLERK CIRCUIT COURT;
439 North 4th St.
Fort Pierce Fla. 33450
Unpaid Balance
Kind of Tax Tax Period Ended Date W As~lnent identlry?irq Number of Assiassnlent
W (6J (c) (d) (aJ
941 6-30-18 1~3-79 34»1009537 $2b2.64 }
f
1
i
t
[4
i
E
E
5
Place of Filing
Clerk of Circuit Court
St. Lucie County Courthouse Total ;262.64
Fort Pierces Fla. 33450
This notice was prepared and signed at Fort Pierces Florida , on this,
N
the 2nd day of Apri 1 g 79
Signs a Titie
~ arles J. Nbra Jr. Revemae Officer
( Moue CsrtNic~fs or atice..arnoraw Dy larr to aks .cknow?.dpm«?n b oof ~ssaNlU fo tM val o/ Nalc• of
FodNaf Tu Lhn O.C.M. 2~1Q 1D3P1, C.B. f2bJ
~ .t
Part 1 - To be kept by recording Of~iCe : Form 688 (Rev. 9-78)
- -