HomeMy WebLinkAbout2717 ~'l~7VL7V ~ /
Fotm 668 DoGerlmeM of 1ho Trcasory- lotornal Ravenue Sorvico
~ Notice of Federal Tax Lien Under Internal Revenue Laws
iRev SePtembtr 1978;'
District ~ Serial Number i For OptrOrlal Uso by Reccr;i:ng Gttico
`919 J(;~ ! 9 A'; 3~ ~ 3
- -JACKSOMIILLE -
ffl~f 0 Ak0 F~GOkut1~
As provided by sections 6321, 6322, and 6323 of the Internal Revenue Code, ~ ST.~uC~E COi1lITY.FLA.
notice is given that taxes (including interest and penalties) have been assessed ! f~R f'OtTRAS
against the following-named taxpayer: Demand for payment of this liability has CIfOCUtT CO T
been made, but it remains unpaid. Therefore, there is a Lien in favor of the United ~f.LCt)i~1'En^If1:p~.~~~
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
ac~r>,e. - ~o
Name of Taxpayer -
HAZEL DOUGLASS
R~~i~nrA~e. C Q'v+~
Ft. Pierce, FL 33450
Unpaid Balance
Kind of Tax Taz Period Ended Data of Assessment Identifying Number of Assessment
i (a) (b) lc) (d1 (e)
1040 12-31-7G 03-26-7;' 408-42-GS47 531.85
~ 1040 12-31-77 04-02-79 " 337.03.
1040 ~ 12-31-75 03-12-79 " 274.00
€ -
Y
i
5g~;
C/n
3
- Place of Filing Clerk of Circuit Court
St. Lucie County
Ft, Pierce, FL 33450 Totel = 1,142.93
a
i
This notice was prepared and signed at Melbourne, FL , on this,
a
the 7th day of June ,Tg 79
Signature ~ Title
Crandall
(Nuts: Cortilicele of ollics? •ufhorirad w fo tako ecknow/edgme s h not •ssonfNl -f0 fhO validity of Not+ce O(
Fedorsl Tar Lwn G.C.M. Yd~19, taSO.1, C. SJ ~ ~0 ~i i'r~
Part t - To be kept by recording Form 668 (Rev. X78)