HomeMy WebLinkAbout0010 .i,,
1
J
_ - i .
Form ~ Department or tits Treasury - MttxnDl Rsvwtue 8orvics
(R.~ SeW.mber,9,8, Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number Fa ovnonal us. ey Itacordtny once.
JACKSONVILLE 4~h1~&9 ~ 30 AM i~ 49
As provided by sections 6321. 6322, and 6323 of the Internal Revenue Code.
notice is given that taxes (including interest and penalties) have been assesses
against the fdlowing-named taxpayer. Demand for payment of this liability has ~t
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
amount of these taxes. and additional penalties. interest, and costs that may 1~~;'tIW.7
aaxue.
Name of Taxpayer
Carl do Evelyn McKenzie
390~~
e~ 1 Avenue "M"
Ft. Pierce, F1. 33450
Kind of Tax Tax Period Ended Dane of Assessrnerrt tderti~irq Number t
N) (D) (e! (dl (y
1040 12-3i-75 05-09-T1 255-60-5~+7 2,921.99
Place of Fling
Clerk of Circuit Court
St. Lucie County Courthouse Total = 2.921.99
Ft. Pierce. F1. 33450
This notice was prepared and signed at ~ • Pierce, ~ • . on this,
the th day of Maw .19 ~ .
Signature Title
~ ~ Revenue Officer
(No1ac H o/NCN ~ by 1sw to talc. acknowl.dpmenb 1s not Ms.ntW to tM vatWlfy Of Node. 01
F.d~rd 7a: O .tA. 2dI1p, / , C.B. 12s.)
Bfl~~l(cha~ td6~ Part 1_ - To be ~ bt? reootdfng ofNoa~. Form 668 (Rev. X78)