HomeMy WebLinkAbout0616 4ti3~915 ~
Form 668 Department of the Treasury -Internal Revenue Service
(Rev.September,9ta, ~ Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number For Optional Use M Recording Office
Jack9onvi.lle `9i9 OCT 26 ~ 1~3
As provided by sections 6321. 6322. and 6323 of the Internal Revenue Code. fIL:L s~?[ G, r~.w_~:
notice is given that taxes (including interest and penalties) have been assessed ~T.t.UdECOJNTY.FIA.
against the followin named taxpayer. Demand for payment of this liabil' has ~GER POtTRAS
9' dY <~.ERI( CIRCUIT CO'3{
been made, but it remains unpaid. Therefore, there is a lien in favor of the United ,..~,~;r., g~~
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 4~~915
accrue.
Name of Taxpayer
ru
y '~J. Kamens ~ II
Residence
Rt: 1 Box 410 Int 112
r:e 1~
Unpaid Balance
Kind of Tax Tax Period Ended Date of Assessment Identifyirp Number of Assessment
~j l0~~-17 03-3~-77 10-3o-7R a,a-to-~ss4 zocq.3o
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1 Place of Filing
~ Clerk of Circuit Court
St. Lucie County Courtnause Total i 2009.30
Fort Piero;, Fla. 33450
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This notice was prepared and signed at Fort Fierce, Flr~rida , on this,
lg
the th day of October .fig 7Q
Sign re Title
i
rtes J t~or Jr Revenue Officer.
(Note: Certificate of ollicer authorized by law to lake acknowledgments ~s not essential to tAS validity W Notice o1
Federal tax Lien G.C.Ai/. 2 Ntg. 19541, C.B. /?5.) w
Part 1-
=,To be kept by recording o~l~ce P~ Form 668 (Rev. a78)