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HomeMy WebLinkAbout0613 46912 Form 668 Dopartmont of the Treasury • loternal Revenue Service . (Rev.September19781 Notice of Federal Tax Lien Under Internal Revenue Laws District Serial Number For Opt)or)al Use by Recording Ottica ~acksornrille '9i9 OCt 26 3~ 13 As provided by sections 6321, 6322, and 6323 of the Internal Revenue Code, F1zrp Aht: ?~ECCR.~c notice is given that taxes (including interest and penalties) have been assessed ST. WCIf. cOUNi r. FAA. ROGER POITRAS against the following-named taxpayer. Demand for payment of this liability has CLERH CIRCUii COU} T 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 Ric ''fl F," amount of these taxes, and additional penalties, interest, and costs that may accrue. ~4i~12 Name of Taxpayer Donald Crupper Residence 351 SloaZ Ave. l~ Unpaid Balance Kind of Tax Tax Period Ended Date of Assessment Identifying Number of Assessment /a) rAl ~ rr.! rdl In) ~ 2z9o 11-01-73 r9-z3-74 - 59-1356275 zo3.z9 2290 07-01-77 OS-~-77 " G17.00 2290----- C7-01-78 ~~3-19-79 " 286.96 ? i . r Place of Filing Clerk of Circuit Court' St. Lucie Cou-~tv Courthouse Total = 1107.15 Fort Pi^rce, Fla. 33?.50 This notice was prepared and signed at Fort Pi rce. Flnric>,~_ , on this, the i 2th day of October ~ 9 79 Sign r Title - C. J~h"aran, Jr. Revenue Officer (Note: Cortitlcate of otlicer authorized by faw to take acknowledgments is not essential to the validity of Notice O/ Federsl Tar Lien G.C.M. ?819. 19501, C.©. 125.j °319 P«~E 611 a0~ f 3 Part t =To be kept:by,recording office., Form 688 (Rev. 9-78)