HomeMy WebLinkAbout0574 4~4~002
F~ ~CQ Depa~tment of theTreaaury- Internal Revenue Service
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(Rev. September 1978) Notice of Federal Tax Lien Under Internai Revenue Laws
~IStfICt Serial Number Fo~ OptiOMl Use Dy AOCOIdi~ OffiCe
JACKSONNILI.E
- i9I9 JUt~ -7 ~ 3~ 31
As provided by sections 6321. 6322, and 6323 of the Intemal Revenue Code.
notice is given that taxes (includi~g interest and penalties) have been assessed F'lE0 AdQ k~~yCORutU ~
against the following-named taxpayer. Demand for payment of this liabitity. has S ROGER
POIYRAS~~
been made, but it remains unpaid. Therefore, there is a lien in favor of the United C~ERK CIRCUtT COURyj~
i
States on all property and rights to property beionging to this taxpayer for the R~C04D\'E°~FIfR_._~~~' -
amount of these taxes. and additional penalties. interest, and cosis that may '
accrue.
Name of Taxpayer ~4~~2 -
Ar,ios J. & Ida Bailey
Residence
~05 N 18th St. ~
Ft Pierce FL 33450
Unpald Balance
Kind of Tax Tax Period Ended Date of Assassment IdenUtying Number of Assessment
[a) [b) lW ld) [s)
1040 12-31-7L 5-21-79 255-60-G79~ 636.01-
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Place of Filing Clerk of Circuit Court
St. Lucie County
Ft. Pierce, FL 33450 Tpt81 : 63G,01
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~ This notice was prepared and signed at 2ielbourne, FL , on this,
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~ the ?4th day of 2•~~_ .19 79 ,
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~ Signature Title
Crand
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(Note: Certifiut~ ol ol icor authorized by !~w to ~axe ~ckno.r~~Opmvnts b not ossont U~ vslidity ol Nwic~ W
Fedsr~l Taa Ll~n O.C.Af. ?d1/o. 1pSP1. C.9. 725.) O~~ ~rr
Pa~t 1-. To be kept by recordin~ c9tfl~s, ~~w'~ Fortn 668 (Rev. ~78)
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