HomeMy WebLinkAbout1434 445'742
Form Department of the Treasury -Internal Revenue Service
{Rev.September1978) Notice of Federal Tax lien Under Internal Revenue Laws
DIStfICt Serial Number For oWiona/ Uss bfr Recoroing Olfios
J onville s9~ ~ ~
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
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
States on all property and rights to property belonging to this taxpayer for the ~~Rg~--~
amount of these taxes. and additional penalties. interest, and costs that may
ague. _445'742
Name of Taxpayer
r
Residence
2735 53~ Ave.
? ro h ~'la. 60
Unpaid Balance
Kind of Tax Tax Pefriod Ended Oste of Assesstnettt Identltyimg Number of Assessment
la) lb) lc) ld) [e)
101~fJA lz~-31-75 5-31-76 545~-6z~-878'' 1134•`
i
s
Place of Filing
Clerks Circuit Court Total s
3 Indian River County Courti;ouse 1134.90
_ Vero 3each~ Fla. 32960
x
This notice was prepared and signed at Fort }?ierce~ Florida . on this,
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they[~_ day of ,19
Sig ure L{~/ Title ~
\ •
~ (note: Certir' or officer authorised by N r rake acknowledgments is not essential ro the validAy a/ Notke o/
Federal Tar Lien O.C.M. 26t1g, 1950.1, C.B. 125.)
Pact 1- To be kept by recording office ' Form 668 (Rev. 9.78)
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