HomeMy WebLinkAbout1836 4459139
Form Oepaltment of the Treasury - Internal Revenue Service
(Rev.Septemper19T8) Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number Fo. optional us.
by 1t.codMy oni~e
Jacksonville, FL '.9~ f=~~~~ 29 ~ ~ f ~
As provided by sections 6321. 6322, and 8323 of the Internal Revenue Code. ~t.ED *MD ~iECWt D
~T.lUC1E COA~µT .~ttA.
notice is given that taxes (including interest and penalties have been assessed ROtiER PDIT~S
against the following-named taxpayer. Demand for payment of this liability has Ca~~-
been made, but it remains unpaid. Therefore. there is a lien in favor of the United D1t91'fl(If(!'_T_..~c
States on all property and rights to property belonging to this taxpayer for the ~~c~
amount of these taxes, and additional penalties. interest, and cysts that may 44a~.7p9
accrue.
Name of Taxpayer
James Wortham
Residence
1212' ?forth 25th Street
.T~'t. Pierce, rT, 33450
Unpaid Balance
Klnd of Tax Tax Period Ended Date o! Assessment Identiryliltg Number of Assessment
N) (b1 (e) (d) [s)
1040 12-31-?4 04-16-79 426-78-8426 1,619.39
1040 12-31-?8 04-16-79 489.12
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Place of Filing
perk, i~.rcuit Court Total = 2 108.51
Iucie County ~
Ft. °ierce, ?a'I.orida
This notice was prepared and signed at ?'iia~ni, ~O1"j-~ on this,
~ 10th
s the -day of ,19 ?9
Signatur Title
Acti Chief Office Branch
tl'1etr: eitificafe of oNicei authorized by law fo fake aCknow/edpments b 1!oS~~WV f~~ 1 01 Noftce of
Federal Tar Lien O.C.M. 2M/D, 1sib0~1, C.B. 12b.) U R
Part 1- To be kept by recordirp offke ~ Form 6B8 (Rev. 8-7s)
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