HomeMy WebLinkAbout1907 Form ~C~ Department of the Treasury - Internal Revenue Service
(Rev.Septemher1978) Notice of Federal Tax Lien Under Internal Revenue Laws
D1StrICt Serial Number For Optional Uss by Recording Office
4'7()43'7
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. but it remains unpaid. Therefore. there is a lien in favor of the United 4'743'7
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
~ accrue. ~ILEO ANt ; _
~ ? r hn,~ :Jl:~ '
Name of Taxpayer _ ~ • R.-! • • ~ . 5
CLERK : . , r;''URT
triple A Snterprise~, Irc., a corporation AECO~r i.
Residence OfC 11 2 26 PN '?9
664 IIillier Wit.
Port St. Lucie Fl. 33450
Kind of Tax Tax PeNod Ended Date of Assessment Identifyhty Number oi~Assessmemnt~
(a) (b) (e) (d) ls)
941 06-30-78 O6-z5-?9 59-1815~g4 1,~5.5g
941 09-34-7E 0~-25-79 2,183.91
i 94p 12r-31-78 06-18-79 " .118.87
941 03-31-79 O(}-1-79 2, g~.92 .
941 06-3-79 09--10-79 " 3, fig. 54
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Place of Filing
Clerk of Circuit Court
Wit. Lucie County Courthouse Total = 10,626.92
Ft. Pierce, F1. 33450
This notice was prepared and signed at Pierce, F1• , on this.
' the t~_ day of December g 79.
I Signature Title
.3t=1 revenue Officer
(Nols: C if' a of officer auth od by law fo take acknowledgments is not sssentie) to tAe validity o/ Notke of
Federal Tax L O.C.Y. 2tirt~ r, C.B_ t2b.) 11lM.~ _