HomeMy WebLinkAbout1837 445990 -
Form 668 Department of the Treasury -Internal Revenue Service
(Rev_SeDiember19781! Notice ofi Federal Tax Lien Under Internal Revenue Laws
District Serial Number Fa optiona? Use by Recording o?twe
Jacksonville, FL `919 HbY 29 ~ 2' ~
FIlEO AtiO AEC
As provided by sections 6321, 6322, and 6323 of the Internal Revenue Code. STl 1 CpQ~~TY.
notice is given that taxes (including interest and penalties) have been assessed fXER~II
~P~WTTRA
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 CCRD VERIFtfo~
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 4 A CQ~O
accrue. '3a~.7
Name of Taxpayer
Mamie Lee Maxwell
Residence 813th Ave C
Ft Pierce, FL 33450
Unpaid Balance
Kind of Tax Tax Period Ended Date of Assessment Identifying Number of isment
N) (b) rc) (d) rs)
1040 12-31-76 OS-07-79 265-28-3714 644.02
1040 12-31-77 OS-07-79 " 534.91
1040 12-31-78 04-23-79 " 488.01
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Place of Filing Clerk, Circuit Court
! St Lucie County TO4;ef = 1,666.94
Ft Pierce, FL 33450
This notice was prepared and signed at Melbourne, Florida , on this,
the 23rd day of May ,19 79.
Signature Title
Jam Donovan Acting Group Manager
(Mote: Certifiut~ o! o/fic6? authoriZSd Dy !aw fo takes atknowledpmants i;, rtpf;~~ ~ o/ Notic• of
Fsdara/ Tai lien O.C. M_ 26s 1 g, 1 t)SlY t, G B. 125.) ~w~~~'R ? rqi~
Part t To t)e ktt~pt by recordirq oftioe ~ Form 668 (Rev. 9.78)
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