HomeMy WebLinkAbout1869 j
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Form 668 ~ of the Treasury - Mtemal Rwenw Service i
(Rev Septsmber1878) Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number Por ovtrons( us. bi? R•eo~einp ontce
4'8'6 ~ MAY 20 IIM l~ 28
As provided by sections 6321, 6;122, and 6:123 of the Internal Revenue Code, ~ -A.
notice is given that taxes (including interest and penalties) have been assessed _
against the fdlowing-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 vEttls"rto ~
States on ail property and rights to property belonging to this taxpayer for the ~
amount of these taxes. and additional penalties, interest, and (ASis that may 4~0~ 1
acxrue.
Name of Taxpayer 1
Wadine Hoora
Residence
104.02 A-1-A Apt. B-Gll s
Jensen Beach, Fla. 33lt57 ~
Unpaid 8alanoe
Kind of Tax Tax Period Ended Rafe d Aasuntsnt IdsntNyitq Number of Assessment
(a) (b) (e) (d)
! 1040 30 7812 11-19-79 403-~-~499 12,17.68
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m Ptace of Filing
~ Clerk of the Circuit Court i
St. Lucie CountF Total = 12,i74•~
Ft. Pierce, Fla. 33450
This notice was prepared and signed at i1e8t Palm Beach, Fla. , on this,
the 1~ ~ day of ~ ,t 9 80
Signature ~ Title
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~ C W C r ~J Revenue OfPioer i
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f Mae: C«riHcar• of oHic« •utbwii•d W lar ro pk• acknowNdpm•nts b ~
~ •ss•ntw ~o uw varidlry of Nalle• 01 ~
F•d«a/ T•x L(•n a.c.>w. ze~(sa rosar, c.e. rzs.) reCOf
Part 1- To be kept ts)I ditp 1 Form 868