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HomeMy WebLinkAbout1452 Form Department of the Treasury -Internal Revenue Service (Rev.Septemhert976) Notice of Federal Tax Lien Under Internal Revenue Laws District Serial Number For opriona? u:s ey Reco.dNq onice Jacksonville, Florida ~~~~rf ~98Q AUG 28 A!I 9~ ! 7 As provided by sections 6321, 6322. and 6323 of the Internal Revenue Code. i1tE0 RN[~ FECQHOEO notice is given that taxes (including interest and penalties) have been assessed ST.t l COUIIiY.ittA. R06f~ POITRAi3 against the following-named taxpayer. Demand for payment of this liability has CtE1Gt CtftCUtt COURT been made, but it remains unpaid. Therefore, there is a lien in favor of the United REtORA ~~fRlrtE"-..._-~~•~ States on all property and rights to property belonging to. this taxpayer far the amount of these taxes. and additional penalties. interest, and costs that may accrue. Name of Taxpayer Karl H. Keller Residen "g.826 Orange Avenue Fort Pierce,•Florida 33450 Unpaid Balance Kind of Tax Tax Period Ended Date of Assessment Identifyitty Number of Aaseastnertt • la) [0) rW (d) b) 941 03-31-80 06-16-30 59-1299778 $ 621.92 Place of Filing Clerk of the Circuit Court St, Lucie County Courthouse Total = 621.92 Fort Pierce, Florida 33450 This notice was prepared and signed at Fort Pierce, Florida on this, the 22nd day of August ,19 ~ Signature Title Revenue Officer r_ ' ~ Ot Certititats of r aufAO~izad by law to take atknowlsdpments !s not assantial fo tIN valldlfr of Notk:s o1 7.x « o.c t~ resar, c.B. t2a.t gg IlR~J7 ~i443 Part 1 - To be kept by recording offfr"8 • ~ Form 688 (Rev. 9.78) ..:t. ~y