HomeMy WebLinkAbout1912 Form' V V Department of the Treasury -Internal Rovenue Service
iRev.SeptemDer1978} Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number For Optional Uie Dy Aecordiny Olfice
Jackso mrille 4~~2
As provided by sections 6321, 6322, and 6323 of the Internet 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 4442
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 ff LEO ~Nt ~ ~ KuEb
amount of these taxes. and additional penalties, interest, and costs that may i~-IUCtE ~ Ft.~
' accrue. ROCI'" ~ t !S
Name of Taxpayer RECOA^ r. •
Virginia t~.artin ~ 1~ 2 27 PM
Residence
2002 Coconut Drive
Fort Pierces Florida 33450
UnpaW Eialance
Kind of Tax Tax Period Ended Date of Assessment Identifying Number of Assessment
II a) tb~ te) rd~ ra
9b1 06-30-78 11-06-78 59-1448561 139.73
941 03-31 79 09-24-79 " 94.36
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Place of Filing
~ Clerk of the Circuit Court
St. Iucie County Courthouse Total = 234.09
Fort Pierce, Florida 33450
This notice was prepared and signed at Fort Pieres~ Florida , on this,
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28th iJovember ~9
~ the day of ,19
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Signature/ • Title
C. rangy Jr. Revenge Officer
(Holt. Cwt~licir. of olliter authorized Dy law fo uke acknowledgments is not esienfN/ to the velid~ ~ Notice of
Federal Ter Lien O.C. AI. 26118, 19541, C.B. 125.) 'AMA