HomeMy WebLinkAbout2897 •
r
-
f
~ _
y'
Form Department of tM Treasury - IntertW Revenue Service
(Rev. t3eptembert976) -Notice of Federal Tax Lien Under Internal Revenue Laws _
District Serini Number - Fo. optlwlalln• er aaeordwp oek•
Jackaomiille 4~~
~ NAY 21 PM ~ 00
As provided by sections 6321. 6322. and 8323 of .the Internal Revenue Code.
notice is given that taxes (including interest and penalties) .have been assessed a•
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 ~ ~~Rii-ieo._._
amount of these taxes. and additional penalties. Interest, and costs that -may
accrue.
Name of Taxpayer ~ t
Michael Harris Fox
Fox Construction
Residence
3005 Windy Hill Ln., Tallahassee, Fla. 32303 -
- Unpaid Balance
Kind of Tax Tsz Period Ended Daa of Assosar~ent Ider~ing Number of Assea:msrH
w ro~ ro) ~ rcv r~
I
~I 941 - O1 7809 10/1/79 59-1643746 615.07
j 941 - O1 7906 12/24/79 679.80
941 - O1 7912 3/17/80 ~ " 1,511.33
~ 1040 - 30 7812 8/6/79 267-02-1402 1,586.39
E -
f
- ~ {
- €
i
Place of Filin +
E g Clerk of the Circuit Court
St. Lucie County Total ; 4,392.57
Ft. Pierce ~ -Fla.
i
This notice was prepared and signed at Tallahassee, Fla. , on this. -
the 19th May 19 ~
Signatur Title
Group Manager
C•rtnlcat• of oN~er authorlsad W law to take aw~t+~owladpnrants b not •ss•MM/ fo fA• vaddN,r o/ Notlc• 0/
Faw•ral Tax LNn O.C.M. ?ti~f~ flr6P1, C.B. 1?ti.) ~ -
~ Part 1 - To be kept by rscordkq o•~ Pik Form 66a tRev. X78)