HomeMy WebLinkAbout0408 44~~122 ~
Fom? 668 OePartment of the Treasury - Internal Revenue Service
(Rev.September19T8) Notice of Federai Tax Lien Under Internal Revenue Laws .
District Serial Number - Fo. oo~~o~ar u:e eY R~wa~~ or~~a
Jacksonv;~let i
lorica ~~g ~~Y "3
- p~ Oit 0
As provided by sections 6321. 6322, and 6323 of the Internal Revenue Code, g 4~R~A.
notice is given that taxes (inctuding interest and penalties) have been assessed ~ ~ Y
against the following-named taxpayer. Demand for payment of this liability has
been made, but it remains unpaid. Therefore. there is a lien in favor of the United COltD7~R1F~E.~
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 44~122
accrue.
Name of Taxpayer _ , -
:Jil?_iam :ar..i~ Daniels _
Residence 2~ 1;; ~;:,-L. L.
~'or~ ?~::rce~ _'loi-iua ;3k5o
UnpaW Balance
' Kind of Tax Tax Pefiod Ended Date of Assessment Identitying Number of Assessment
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la) (b) (W fdl (e)
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~ 1J1;D 12-31-7ci 2-~-'l9 2~jli-2J-13o1 1,746•?~
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~ Place of Filing
~ Cler'?: o~ ':,'r.e C-i: cuit Coiibt
~t. Lucic Cau::t~~ C:.u:-ti:o~:se Total = 1?71~°.?6
s Fort Pierce~ 'r'lor;~la ~31~50
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~ This notice was prepared and signed at i ierce~ r loriGa , on this. ~
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~ the lst dayof I`~ ,19 79
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(N : Cerfi/iCafe of er authoiized by law fo /ake ecknowledpments !s not essenfia/ fo th6 validity ol Notice of
j F aI Ter Uen O.C . 19, 19541, C.B. 125.)
~ Pan 1- To be kept by recording office Form 888 (Rev. ~78)
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