HomeMy WebLinkAbout1892 Form 668 Department of the Treasury -Internal Revenue Service
iRev.september,9Ta, Notice of Federal Tax Lien Under internal Revenue Laws
District Serial Number 4~~4~ Fw Op/ional Use Dy Recording Onice
Jacksonville
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
against the following-named taxpayer. Demand for payment of this liability has
been made, buY 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 fIlEO aNr t:: , -UEO
amount of these taxes. and additional penalties, interest, and costs that may =T. IUC~f ; ; . ti - . FlA
~ accrue: ~ P.n~. - . ;`s
_ iii... i ~i;BR
Name of Taxpayer
Saftay Gerald DEC 1~ 2 22 PM ~q
Residence
i 610 North 14th Street
Ft. Pierce, Florida 33450
Unpaid Balance
Kind of Tax Tax Period Ended Date of Assessment Identifying Number of Assessment
(a) (D) (c) (d) (e)
1040 12-31-76 10-29-79 250-72-7214 1149.55
1040 12-31-77 10-29-79 " 1 028,12
1040 12.31-78 10-29-79 " 1,279.27
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r Place of Fiting
Clerk of the Circuit Court Total :
St. Lucie County 3,456.94
Fte Pierce, Florida 33450
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This notice was prepared and signed at Jacksonville, Florida , on this,
the 26th day ofNovetnber ,19 79
Signature Title
i
Chief, Office Branch
(Note: erfif' to of oll r authorized by /sw to take acknow/edymonts Is not essential fo tAe validity o! Notic• o/
Federal Lien O.C.M. 2tNfp. 1p541. C.B. 1?5-) _