Form 668 

(Rev. February 20041

16600

 

Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien

 

Area: .

SMALL EMPLOYED AREA #3
Lien Unit Phone: (800)

913-6050

 

Serial Number

250880417

For Optional Use by Recording Office

 

 

As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore,
there is a lien in favor of the United 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.
Name of Taxpayer PREVACUS, a Corporation

 

Residence

1400 VILLAGE SQUARE BLVD 3-414
TALLAHASSEE, FL 32312-1250

 

IMPORTANT RELEASE INFORMATION: For each assessment listed below,

unless notice of the lien is refiled by the date given in column this notice shall.

on the day following such date, operate as a certificate of release as defined
in IRC 6325(al. -

 

70320133 333634771131):

ems s: Amman
02 s? use

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Cl-El'ild

 

 

Tax Period . Date of last Da for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi ng of Assessment
(3) (C) 
941 09/30/2015 02/13/2017 03/15/2027 67601.81
941 12/31/2015 02/13/2017 03/15/2027 66463.13
941 03/31/2016 02/13/2017 03/15/2027 106698.31


 

 

 

 

 

Place of Filing

SECRETARY OF STATE

 

 

 

 

 

Toml 240763.25
TALLAHASSEE FL 323 14
This notice was prepared and signed at MD . on this,
the 28th day of February 2017.
smmaHHe OFFICER 23-09?2416

for JOSEPH PERDUE

 

(850) 402?8613

 

(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 CB. 409}

Part I - Kept By Recording Of?ce

Form 668(Y)(c) (Rev. 2-2004)

CAT. NO 60025X