HomeMy WebLinkAbout1898 Form 668 Department of the Treasury -Internal Revenue Service
(Rev.September1978) Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number 4.~A ~p Fw Optional Use Dy Aecwdinp Office
Jacksonville, Fl , v~~r~
As provided by sections 6321, 6322, and 6323 of the Internal Revenue Code,
rotice 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. 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 F !EO ANt~ 4. ~t'~OI:O
amount of these. taxes, and additional penalties. interest, and costs that may ><l~ lUCI[ -t r ~ FlA.
~ accrue. ROCS- -?sS
CIERt CGURT. O
Name of Taxpayer _ - -
Douglas ':1. & ~ati~y Oliver M. 11 ~ ~ ~ nm
Residence 2756 S. E. Carroll Street : 4.~nw'Q I `Y
Stuart, Florida 33494 ~'3/W
Unpaid Balance
Kind of Tax Tax Period Ended Date of Assessment Identitying Number of Assessment
i (a) (b) (c) (d) (~1
1040 12-3~ 76 -'~-09-77 zE4-z5-'.z71 11?7.13
lo4c 1z-31-77 i~05-78 z64-z5-t:z71 1,17s.63
lat:G 1z-3~-78 5-14-79 z64-z5-4z71 52.51
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Place of Filing
Clerk of the Circuit Court
Hartin County Court House Total = 1,378.27
Stuart, Florida 33494
This notice was prepared and signed at Fort Pierces Florida , on this.
i
the 30th day of `joyer,)b~r .19 79
Sign/at~ure Title
C.. • ~ ~ iie-renue Df''icer
Certilicafe of ollicer eulhori ~y !aw fo tako acknow/edyments is not osaentia/ fo fAe validity O( Nofke of
Federal 7a: Lien O.C.M. 2IIIf9. t95 t, B. 125.) - ~'rr> 1 Mss