HomeMy WebLinkAbout1720i
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Forrt~ s6S
(Rev. September 1978)
Di$trict
JACKSONVILLE
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Department of the Treasury - Internal Reve~ue Service
Notice of Federal Tax lien Under lnternal Revenue Laws
Se~ial Number Fa Optione! Uss by Aeco~diny 01fic~
516869 1~1 fE8 13 AM ia OS
As provided by sections 6321. 6322, and 6323 of the Intemal Revenue Code,
notice is given that taxes (inciuding i~terest and penalties) have been assessed
againsi~the followingnamed taxpayer. Demand for payment of this liability has
been made, but it remains unpaid. Therefore. there is a lien in favor of the United
States on all p~operty and rights to property belonging to this taxpayer for the
amount of these taxes. and additional penalties, interest. and costs that may
~,e.
Name of Taxpayer
HFRMAN R dc BARBARA S[11~IIItLIN
Residence
266 Marina. I~.
Ft . Pierce, F'~- • 33'45~
Kind of Tax Tax Period Ended Date of A~ssassment
[~) (b1 [W
1040 12-31-79 08-11-80
This notice was prepared and signed at ~•~~Ce, ~-•
the 10th day of Fe~y .19 ~•
FIIE~R~ENC f~CORDEQ
s RQGER PO TRAS~
CIERii Cln~UIT CQl1R ~
a~' .;t. ~.F -,~t :i ` --~_--- --
Identitylrp Number
(d)
266-52-9714
516~369
UnpaW Balsnce
of A{sassment
[~)
16,842.86
, on this,
~ Sign Title
Revenue Officer ~
Certific~te o/ oH ~utAorized Dy law fo faks ~cknowl~dpments b nof psential to tM valiQify o/ Notice a1
~ , T.~ ~.~ a.~.., ,o.,~~,. ~.a. ,z~~ gn~348 P,~i?i9
~ Part 1, - To be kept b~- recordin~ offbe~. Form 668 (Rev. 5-78)
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Place of Fiting
Cle~ck of Circuit Court
St. Lucie County Courthouse Total = 16~842.88
Ft. Pierce, Fl. 33~+50