HomeMy WebLinkAbout07-0738
11799
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 2004)
Notice of Federal Tax Lien
flt,. 0 1- 738 ~TI-
For Optional Use by Recording Office
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #7
Lien Unit Phone: (800) 913-6050 342333007
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 EDWARD J GORMAN
Pd . P ....11/ ~ /'I.<Ji)
CA /6"7 'IV
f2~ J r1 I, f 7
Residence
626 A DANNER LANE
NEW CUMBERLAND, PA 17070
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (e), this notice shall,
on the day following such date, operate as a certificate of release as defined
in IRe 6325(a).
Tax Period Date of Last Da.r. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilng of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2003 XXX-XX-3586N 07/10/2006 08/09/2016 3990.18
1040 12/31/2004 XXX-XX-3586N 09/18/2006 10/18/2016 4027.50
1040 12/31/2005 XXX-XX-3586N 09/18/2006 10/18/2016 3564.30
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
11581.98
This notice was prepared and signed at
DETROIT, MI
, on this,
29th day of January
2007
the
Signature
Title
ACS
(800) 829-3903
27-00-0008
for REGINA OWENS
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Ru!' 71-466,1971 - 2 C.B. 409)
Part 1 . Kept By Recording Office
Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X