HomeMy WebLinkAbout1525 9;43844 ~
Form 668 OepaRment a the Treasury - Internal Revenue Service
(Rev.September19783 Notice of Federal Tax lien Under Internal Revenue Laws
District - Serial Number For Optiona? Use by Recwdiny Ottice
Jacksonville i9T9 Flt1'; -9 PF1 ~ 43
As provided by sections 6321, 6322, and 6323 of the Internal Revenue Code, ~ fLLEO A u Rlcufi4EU
ST.LUCi CWHTY.F``A.
notice is given that taxes (including interest and penalties) have been assessed R06E POItRAS
against the following-named taxpayer. Demand for payment of this liability has q.ERK CIRCWT Cl)
been made, but it remains unpaid. Therefore, there is a lien in favor of ttte United RECORD YERIf1EQ
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 443844
atxrue.
Name of Taxpayer
Bennett & Lucille Coleman
Residence 109 Bedford Dr. '
Fort Pierce, F1. 33450
a
Unpaid Balance
Kind of Tax Tax Period Ended Dste of Assessment - Identifying Number of Assessment
! (a) lb) (e) [d) (e)
i
E 1040 12/31/75 2/5/79 428-44-4922 842,74
s
s 1040 12/31/76 4!16/79 428-44-4922 1,131.65
1040 12/31/77 12/18/78 428-44-4922 259.93
3 Place of Filing CLERK, CIRCUIT COURT
'v' St. Lucie County Teel = 2, 234.32
Ft. Pierce, Fl. 33450
~ I
This notice was prepared and signed at Miami. FloridA , on this,
the 19th day of Ag,ril ,19 X79 .
Title
Signet ACTIIJG CHIEF, OFFICE BRANCH ,
(Note: iffcate of otlicer authoriza~d by 'few to take acknowledgments fs not essential fo the validity OI Notice ~
Federal Taz Lfen O.C.M. 2tYStg, t950t, C.B. 12b.) O ~ ~
Form 668 (Rev. 9.78)
Pert 1_- To be kept by recordirp o ~
_ - . _