HomeMy WebLinkAbout1905 i-
Form 668 Department of the Treasury -Interns) Revenue Service
cRev.September1978) Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number 4'74435 For Optional Use a Racord~ng Office
Jacksonville Fl•
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, 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 FIlEO ANh F'Ei :.DEQ
amount of these taxes, and additional penalties, interest. and costs that may tT.lUCtr ~r~ 1 F~j,
E aa~~.::.-~~s
accrue. CLERj~~:.,.~) COUti~~
Name of Taxpayer- ' ' ` ~ ~
ftobert & Cynt~ii.a Idi~.llis 2 26 i 17 Ij
Residence 4'74435
365 S. E. Shelter Ik~ive
Port St. Lacier Florida 33450
Unpaid Balance
~ Kind of Tax Tax Period Ended Date of Assessment IdenWytrq Number of Assessment
~ (a) (D) (W (d)
I
10110 12~-31-78 0~-27-79 2C6-z3-5490 1,153.33
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Place of Filing Clerk of the Circuit Court
St• Lucie County Courthouse Total = 1,153_•33
Fort Pierces Florida 33450
i his notice was prepared and signed at Fort Fierce, Florida , on this,
the~th day of December ,19 79
i Signature Title
r
~ iZevenue Officer
(NW: Certificate of otfice? au prized DY law to take acknowledgments /a not •ssentla/ to tb• validity O/ Notke OI
Federal Tas Lien O.C.M. 28119. 9501, C.B. 125.) _ r~~`N'
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