HomeMy WebLinkAbout2724 44838'7 c.E
Form 66Q pepartment of the Treasury -Internal Revonue Service -
Rev. SoptemDert978, Notice of Federal Tax Lien Under Internal Revenue Laws .
District i Serial Number 1' _FOr O~r~onal Use Dy Reco.d~ng Of(~ce
JACKSONVILLE
i1LE0 ANU rtCUrut 4
As provided by sections 6321, 6322, and 6323 of the Internal Revenue Code, ! St.LU::E Ci.UNTY.FIA.
notice is given tnat taxes (including interest and penalties) have been assessed f ROGER POITRAS
against the followin named'taxpayer. Demand for payment of this liability has ~ CLEdK CIRCUti COU
been made, but it remains unpaid. Therefore, there is a lien in favor of the United ( R'~CRO t•Ep!F~~!!__
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 1 c'~~8;~'7
accrue. ~
Name of Taxpayer
P.ILEY & LILLIAII 4TiLLLA2•LS
Residence
1510 Ave. I
Fort Pierce, FL 33450
Unpaid Ba ance
Kind of Tax Tax Period Ended Date of Assessment Identifying Number of Assessment
~ (a) (b) (c) (d) (a)
E 1040 12-31-7G 02-12-?9 421-05-4515 351.46
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1
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2
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? Place of Filing Clark of Circuit Court
St. Lucie County Total : 361,46
Ft. Pierce, FL 33450
- This notice was prepared and signed at Melbourne, FL , on this,
~ the 5th ~,y of June ,19 79
Signa Title
(Crandall)
(Notes: Cort~ticate of olf~cor authoiized by law to take acknowledgments fs not osssntial tM validity of Noticta o/
Federal Tax Lien O.C.M. 28/19, t95at, C. A. t?b.)
~ P~ 310 Ali ~ f ~ Form 668 tRev. 9.78)
Part 1 - To be kept by recording otftc~