HomeMy WebLinkAbout0575 ~4~'OEl3 -
~ Oepartm.;nt of ihe Treasury - Inlornal Revenue Sorv~ce
Form ~68 I -
' Notice of Federal Tax Lien Under tnternal Revenue L~u~~s
(Rev. Septe: ~i;cr 197~i
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District ! Serial Number For Opaonal Use by Recc•U:n~ O~t~~@
~ ~9?9 J:1!~ -7 f~'F~ 31
JACKSONVILLE - - t .
As provided b sections 6321, 6322, and 6323 of the Iniernai Revenue Code. ~ f I~EO Ati~ h~.GCst.;Eo
Y i SLLIIC~E CO'~'1TY.FtA.
notice is given that taxes t~ncluding interest and penalties) have been assessed ROGER PQITRAS
against the following-nam~d taxpayer. Demand for payment of this liability has CIRCIfIi CWR
been made, twt it rernai~s unpaid. Therefore. there is a lien in favor ~f the United ~ RcG~r:Q ~~"iF~~_. ~
States on atl property and rights to proFerty belonging to this taxpayer for the i
amount of these taxes, and a,iditional penafties, interest, and costs that may ~
' accrue. i 44~003
Name of Taxpayer ' ,
LeB~n;n A. & Doris Ya~an
Residence
3101 Okeecho~ee Road .
rt. Pierce FL 33450
- - Unpaid Balance
Kind of Tax Tax Period Ended Oate of Assessment Identifying Number of Assessment
fa) (b) (W [tfJ [el
104a 12-31-75 06-04-79 260-16-~297 676.39
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$ Place of Filing Clerk of Circuit Court '
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~ St. Lucie County Totel =
' Ft. Pierce, FL 33450 676.39
This notice was prepared and signed at 1'ielbourne, FL , on this,
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a the 31st dayof r~~ ,19 7..g
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~ Signature Title
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' Group 2•iana~er
M~s: Cortificate o/ otlicer uthwizod by faw~ to tako acknowledyments is not ossenw! to fAO wl~lfy of No!ice ol j
FeOeial 7~x L.~er~ O.C.~t. 2811 . 195a1. C.B. 125.) ~ R~~ ~
Part 1- To ba kept by tecordin~ a~mC~ . Fo?m 668 (Rev. 9-78)
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