HomeMy WebLinkAbout2726 448389 ~ ~
Form 668 Department of the Treasury -Internal Revenue Service
(Rev. September 1978) Notice of Federal Tax Lien Under Internal Revenue Laws _
District Serial Number For Options( Uss dY Recadin0 Olr;ce
X919 JU'~ 19 A}I 3' 4 4
JaaYeonvills, FL
Ft~EC kt~0 RECOitOEt)
As provided by sections 8321, 6322, and 6323 of the Internal Revenue Code, St.IUCtE COUH~Y.FLA.
notice is given that taxes iincluding interest and penalties) have been assessed ROGER t'81 RAS
against the following-named taxpayer. Demand for payment of this liability has CLERK CIRCUIT COU~N
F.CCCR01'fPtF!CQ__, ~V~y~'~-
been made. but it remains unpaid. Therefore. there is a lien in favor of the United
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 ~p~~
accrue. 448a~9
Name of Taxpayer
Robert do Dona iihite
Residence
620 3anth 11th Street
Ft. Pietas, FL 33450
Unpaid t3alattce
Klnd of Tax Tax Period Ended Date of Assessment Identifying Number of Asssssmeirtt
(a) [D) (e) (d) (s)
i
1010 12-31-78 05-28-79 261-32-oeo4 1,054.27
r
w
H
Place of Filing .
(~srk, c~.rcuit court Total = 1,054.27
8t. Lncis Caunttiy
Ft. Pierce, FL
3
1
This notice was prepared and signed at 1!fLsttd~ FL . on this,
the 31st day of M~av~_ ,1g 7.Q
Signature Title
,at3ng (~ieY, OfPics Braonch
(Nate: Cent( to of otlica authorized t+y taMr fo take acknowledOmsnts bt not essantia/ 1o the validNy o/ Notice of
Federtl tax Uen O.C.M. 2tf~10, 10541, C.B. 125J
30pCcR~ ~0 ~A~~ Form 868 (Rev. 9.78)
Part 1 - To be kept by recording of~e