HomeMy WebLinkAbout1878 Form o68 Department o! the Treasury -Internal Revenue Service
;Rev.September19781 Notice of Federal Tax Lien ..Under Internal Revenue Laws
District Serial Number A ra. oor,on.l use or Retof~:nq offKB
Jacksonville, Fl Y
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
asainst the following-named taxpayer. Demand for payment of this liability has
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 ? LfD AAi~ CEO
amount of these taxes, and additional penalties, interest. and costs that may Sf~ lUCtt ~ . . l FlA.
accrue. CtE~r.. - .
NECOw~ ; ~ r . •
Name of Taxpayer
George Dix ~ ~ ~9 ` D , iJ
Residence 2603 Juanita Ave. ~~~p
Rt. 2 Box 49A -
Lake City, Fla. 32055
Kind of Tax Tax Period Ended Date of Assessment Ides Unpaid Balance
tifyltq Number of Assessment
la) (h) (c) ld) le)
v
941 06-30-74 08-18-75 59-1396411 337.33
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Place of Filing
[ Clerk of the Circuit Court
St. Luzie County TptB~ = 337.33
Ft. Pierce, Florida 33450 I
This notice was prepared and signed at Jacksonville, Florida , on this,
E
the 23rd day of Oct. 19 79
Signature ~~--e'~>> Title
' oney Altieri Revenue Officer
(Note: CertAiute o? olticer suthori:ed by Isar to take acknowtedpmenn is not essenw/ to the validity oI Notice of
Federal lax Lisn G.C.M. 26.19. 19501, C.B. 125_) N~~~ _ _