HomeMy WebLinkAbout07-0920
7116
Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
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For Optional Use by Recording Office
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Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 343866807
A5 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 THERON J GOLDEN
Residence
3610 GOLFVIEW DR
MECHANICSBURG, PA 17050-2216
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refi/ed 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).
Kind of Tax
(a)
1040
Tax Period
Ending
(b)
12/31/2005
Identifying Number
(c)
XXX-XX-1197
Date of
Assessment
(d)
10/30/2006
Last Day for
Refillng
(e)
11/29/2016
Unpaid Balance
of Assessment
CO
9676.27
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
9676.27
This notice was prepared and signed at
DETROIT, MI
, on this,
the
05th day of February
2007
for REGINA OWENS
Title
ACS
(800) 829-3903
22-00-0008
Signature
(HOTE: 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 C.B. 409)
Part 1 . Kept By Recording OffIce
Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 6OO25X