HomeMy WebLinkAbout0109 Forth Oeparlment of the Treasury - Inte?nal Revenue Servke
(Rev. September 1978) Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number 4w01~ For optlona/ Uas M Recording ONice
Jacksonville, Florida ~ A~ 20 ~ ~ ~
As provided by sections 6321. 6322. and 6323 of the Internal Revenue Code.
notice is given that taxes (including interest and penalties) have been assessed ST. ~ ~1T~,
against the following-named taxpayer. Demand for payment of this liability has a CIRgBT
been made, but it remains unpaid. Therefore, there is a lien in favor of the United RECORQ ~'t:RIFlEO~--~-
Stales 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
accrue. A p~~l,~
Name of Taxpayer `tom
John A. Ostrander
Resi~@tl~e Nancy Lane
Port St. Lucie, Florida 33452
Kind of Tsx Tax Period Ended Date of Assessment I -Unpaid f8alance
dentifying Number of Assessment
to tee tc) td~ al
940 12-31-?5 05-29-78 38-2083811 95.56
941 i2-31-75 04-24-78 38-2083811 338.06
941 06-30-76 07T64-77 38-2083811 178.93
941 09-30-76 03-27-77 38-2083811 832.16
Place of Filing Clerk of the Circuit Court
St. Lucie County Courthouse Total = 1,444.71
Fort Pierce, Florida 334,0
This notice was prepared and signed at Fort Pierce, Florida . on this,
the 19th day of August ,19 ~
Sig a Titfe _
Revenue Officer
mx
CartiNcat f olticer suthorised by law to take acknowtedgmsnta !a not esaMtia/ fo the validity o/ Notice of
ra/ Tarr Lien d.C.M.26r19 /g541,C.B. /2ti.) ~M~ p~vC
Part 1 - To be kept by recording , 'w'
j ~v[ Form 668 (Rev. 978)
~ ~ 1