HomeMy WebLinkAbout0612 F°"" 668 Department a the Treasury -Internal R.venue s.rvice
(R•v.september1978) Notice of ~ederai Tax Lien Under Internal Revenue Laws
District Serial Number For oo/iona) u:• br Raeo.dinp O/tic•
JACKSONYILLIs St~584f 190 I~OV -4 P!! 12~ 13
As provided by sections 6321, 6322, and 6323 of the Internal Revenue Code, 5, ~ ~ ~ • t i.
notice is given that taxes (including interest and penalties) have been assessed r:;:=-~ ~ ~'~=-:,~.•S
against the fdlowing-named taxpayer. Demand for payment of this liability has C! Efir, ~.,~,:;,,i CG~RT
been made, but it remains unpaid. Therefore. there is a lien in favor of the United r:Cu'; ~
States on all property and rights to property belonging to this taxpayer fot the ~r~4~
amount of these taxes. and additional penalties. interest, and costs that may
accrue.
Name of Taxpayer -
LEWIS W. ROACH & LEi~RS P. ROACH, PIR
dba Al N3asom - - -
Residenoe
750 Belfast Ave. -
Pt. St. Lucie F1. 2
Unpaid t3alance
Kind of Tax -Tax Period Ended Oats of Asse~rnent Idantifyitq Number of Asisessment
fa) (b) - (e) ld)
9~s0 12-3l-78 08-25-80 59-1788291 717.99
Place of~ll~g of Circuit Court _
St1. Iueie County Courthouse Total = 717.99
i 1''t. Pierce, 1?l. 3345p
This notice was prepared and signed at ~~e. . on.this,
the day of October ,fg 80. -
Si a Title
Revenue Officer'
C•rtHica/• icN au/Awls•d by law to qk• acknowladpm•nb h _ not •n/!d /o tM valldNp W Notk:• o/
1 Part 1- TO be kept ~ raoordlnq oHios; Form 668 (Rev. 9-78)
_ .