HomeMy WebLinkAbout2720 444620
Form ~C~ _ Department Of the Treasury - Ints?nal Revenue $enfce
(Rev septemher19781 Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number For Onfional use M Recadiny Olflcs
Jacksonville, FI. ~~i•i ~S ~
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 PdTRAS
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 ~'ct~ 1r ~i
Slates on all grope and ri hts to r belo in to this tax er for the + ~
1'tY 9 p opertY n9 9 paY
amount of these taxes, and additional penalties, interest, and costs that may '
a(xrue. 4.44620
Name of Taxpayer
Arti(mis hall
Residence
913 Forth 21 st Street
Ft. Pierce, rL 331150
Unpaid Balance
Kind of Tax Tax Period Ended ate of Assessment Itientityirtg Number of Assessment
(a) (b) (c) (d) (e)
10110 12-31-? ~ 01}-30-79 2611-06-7390 1103.62
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! Place of Filing
€ '
~leri~s, t'ircuit .^,ourt
St. Lucie county Total t 1108.62
Ft. 'T'ierce, G'lorida
This notice was prepared and signed at '~OM'~ . on this,
sr 79
the 7t•j day of ,19
I
t Sig ur Title
?'.oberta L. Po~ler Acting 'thief, Office firanch
(Note: CeRNiute or olf(csr autho+ized by taw ro taka acknow/adpments is not tnsaefld to tbw rafWlfy of Notice of
E Federal Tax LNn O.C.M. 28411), 1!)541, C.B. f?5J ~ ~ R~Ad1a~1 ~~A~/~
Part 1 - To be kept by recordlrtg RF/%rr ~~/~%..~~~~VVi~ Form 668 (Rev. 9-78)
~yw. ~ tNe N-