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HomeMy WebLinkAbout1844 446505 Form ~C~ Department of the Treasury -Internal Revenue Service (Rev.September1978) Notice of Federal Tax Lien Under Internal Revenue Laws District Serial Number For Optional Use by Recmdiny Office Jacksonville 1919 t~OV 19 P~ 3~ 39 As provided by sections 6321, 6322. and 6323 of the Internal Revenue Code, notice is given that taxes (including interest and penalties) have been assessed FaEO al+c 6c ctlr~~: u ST.IUCIE COUNiY.FLA. against the following•named taxpayer. Demand for payment of this liability has ROGER POITfiA~ been made, but it remains unpaid. Therefore. there is a lien in favor of the United CLERK CIRCUIT Ct:ttzl States on all property and rights to property belonging to this taxpayer for the L~~U~O t':~F(FtF"._ ~ . amount of these taxes. and additional penalties, interest, and costs that may accrue. Name of Taxpayer4 `"05 Don Johns Painting, Inc., a corporation Rgsidence ~+vi Citrus Ave. Ft. Pierce, F1. 33450 Unpaid Balance Kind of Tax Tax Period Ended Date of Assessment Identifying Number of Assessment (a) (b) (c) (d) (s) 941 09-30-78 04-09-79 59-1 ~ 3~ 3~+$. 75 941 06-30-79 o9-i 0-79 59-1 ~ 3~ 4.637.27 Place of Filing Clerk of Circuit Court St. Lucie County Courthouse Total ; 4,986.02 F~. Pierce, F1. 33450 This notice was prepared and signed at Ft. Pierce Fl. , on this, the 2nd day of Nov. .19 79. Signature Title BDOMK Ra and Sal Revenue Ofi'ecer (Nate: Certificate fiGer aut wined by I fo fake acknowladymants Is not essential fo Me validity o/ Notk:e o/ Federal Tax Lien o.C.A1. 26119, 19541, C.B. 1 Part 1,= To be kept by,recording office` Form 6138 (Rev. 9.78)