HomeMy WebLinkAbout0960
Form 668 Department of the Tresaury -Internal Revenue Service
(Rev. September 1978) Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number For onrlaw us• br Aeeordirrp or/ic•
509388 Iill g 25
JACKSONVILLE
As provided by sections 6321. 6322. and 6323 of the Internal Revenue Code. S . ~A.
notice is given that taxes (including interest and penalties) have been assessed K
against the following•named taxpayer. Demand for payment of this liability has
been made. but it remains unpaid. Therefore. there is a lien in favor of the United tOPO YEypFKt)
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 ~`~~
accrue. - w~
Name of Taxpayer
_J OLIN K k JOAN CAMP
Residence
P O BOX FORT PIERCE FL
UnpaW Balance
Kind of Tax Tax Period Ended (Date of Assessment IdeMlfyinp Number of Assessment
fa) (b) (c) (d) f~)
io4o iz-3i-75 04-19-76 267-06-6565 3z.5z
1040 i z-31-76 i o-15-79 ,. ., ., 244.31
Place of Filing
CLERK OF THE CIRCUIT COURT Total i 276.83
ST LUCIE COUNTY COURTHOUSE
FORT PIERCE, FL 334,50
This notice was prepared end signed at ~1RZPIERC~r Fr.e , on this.
the 1st day of DDCEi~BER ,19 ~ ,,_
Signature Title
E Ot•:
I C•rtiNtal• of oHlcer taurh
Txx 1.1•n O.C.M. 2b~1p rte
f~ __ •d law fo ItJk• acknowl•dpm•nta W nOf •sanlla/ t0 f/N
/, C. . 12b.)
Part 1 - TO be kept by recording. offkm~~~~ P~ ralldlfy W Notk;• 01
~rm 688 (Rev. 9-78)
`rvY=