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HomeMy WebLinkAbout1847 t .466508 Form 668 f~partment of the Treasury -Internal Revenue Service (Rev.September1978) Notice of Federal Tax Lien Under Internal Revenue Laws District Serial Number For Optional Uss M Recording Olfics Jac:::en-r~ll~ 1979 ~~OV 19 FILEO ,tHi izc Wi~uc U As provided by sections 6321. 6322. and 6323 of the Internal Revenue Code. Sti_UCtE cCUkTY Ftn. notice is given that taxes (including interest and penalties) have been assessed ROGER POtTRAs CLERK ClRCU1T CC' T against the following-named taxpayer. Demand for payment of this liability has ~ 9 been made. but it remains unpaid. Therefore, there is a lien in favor of the United sten~~ ~'`^~'t~~~- 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 ~ 44~650~3 accrue. Natite of Taxpayer Residence 3, --cv . f~~ Kind of Tax Tax Period Ended Date of Assessment Idorltifyiny Number of~Aasessment (U (D) [e1 (d) (e7 ~l 1~~.J ? ~ 3 i-':' J,-?_ ;'i' ?:1;-?;; ?813 3, 3?.?r • 21 I 1 ~ - 1 Place of Filing a~ric o= C-~rcait '~~::rt Jt • i,'1C1" ,r0',,Z:,,J V'JL'T'+V:'.~.;:..C TOfaI : 3, i~-+• 11 n This notice was prepared and signed at ~ • ~ =rc::, r ~ . , on this, I the `2.'L,~ day of ~clo~~_ ,19 "l~. Signature Title 800K cK.U P~6E 1 ~ -p ~ (Nolo: Certificate of ar aut iced by la take acknowledgments Is not essential to tAe velidlty of Notk:e of ~ Federal Taz Lien Q.C. . 26410, 1050.1, C.B. 72 Paft 1,= To ba,kept by,recording office) Form 688 (Rev. 5-78)