HomeMy WebLinkAbout2038
~~
,
Form 668 (
(Rev. Soptember 1978,!
- ~-
District
JACKSONVILLE
DepaAme~t ot the Treasury - Internal Revenue Service
Notice of Federal Tax Lien Under lnternal Revenue Laws
Seri81 Numb@r ~ `Fw opuona~ use ny Aecwa~oy or~rce
518'794 ~98I ~AR -3 P~112~ 54
As provided by sections 6321. 6322, and 6323 of the lnternal Revenue Code, ~~EC J~NC F.f COkt1i 0
notice is iven that taxes (includin S.LUCIE CQtNItlf.Ft A.
g g interest and penaltiey) have .been assessed ~Gf.R POITRAS
against the following-named taxpayer. Demand for payment of this liability has ~~~u~ CO ~
been made, but it remains unpaid. Therefore, there is a lien in tavor of the United •w=~`~ L t'~~~ ~^- ~~ -" --
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 rJ1~~9~
accrue. ~ •
Name of Taxpayer
FRANK JOCK
Resid~nce ~ '
24Fi5 SW Cameo Rd.
Pt. St. I,ucie, Fl. 33~+52 .
- Unpaid Balance
Kind of Tax Tax Period Ended Date of Assessment Ide~tifyfng Number of Asseument
(a) (b) (c) (d) (e)
1040 7912 9-29-80 161-28-3913 9,1.58.~
~
This notice was prepared and signed at ~• ~~Ce. ~• , on this,
the 25th day of Feb~uar~ ,1 g~1.
o l -
Sigp~ture i j ~ ~ Title ~
/ ~ Revenue Officer
. -~./
,
(N O Gerf~ficata ol ollicer horized by /aw to fake acknowledpmMts js nof pssentral to fhB r~li0ifp oI Notrce of
Fe l T~a L~sn O.C.AI. 28~ , 1954i, C.B. 125.) ~~
~
~ F«
Part 1.- To be kept by recOrdiny OH~, ~ Form 668 (Rev. 9-78)
Place~f~F~iIKgOF CIRCUIT COURT ~ • '
St. I.ucie County Courthouse Total = 9~158.00
Ft. Pierce, F1. 33450