HomeMy WebLinkAbout1313 Forfn Department of the Treasury -Internal Revenue Service
ERev.September1978) Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number. For national use by liacodinp orrice
Jacksonville Florida 49J~~ ~
iti~o A~,t~ F~colroEo
As provided by sections 6321, 6322, and 6323 of the Internal Revenue Code, Si.IUC~ CoWtTY.FtA.
notice is given that taxes (including interest and penalties) have been assessed a~~TRAST
against the following-named taxpayer. Demand for payment of this liability has toRDYERIftEO
been made. but it remains unpaid. Therefore, there is a lien in favor of the United -"C
States on all property and rights to property belonging to this taxpayer for the 4p~~
amount of these taxes, and additional penalties, interest. and costs that may ~~vv II
accrue.
Name of Taxpayer
Roger D. Bass
Residence 621 S. 17th Street
Fort Pierce. Florida 334y0
Unpaid Balance
Kind of Tax Tax Period Ended Date of Assessment Identifying Number of A>~essment
(s) (b) (c) (d) Us)
104o iz-3i-78 09-10-79 z67-o6-6y~i~5 519.64
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Place of Filing
Clerk of theCircuit Court
3t. Lucie county courthouse Total t 519•x'
Fort Pierce. Florida 3~+g0
This notice was prepared and signed at Fort Pierce' Florida
on this,
z
the 1st day of August ,19 ~
t
t Signature Title
Revenue officer
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(Note: Csrtiliure oflicer authorized by law to fake acknowlsdpmenfs is not essential to the validity o1 Notice of
' Federal Ta~c Llen li.C.M. 26a1t), IOStYI, C.B. 125.)
e ~orm 688 (Rev. 5-78)
Part 1 - To be kept by recordlny office
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