HomeMy WebLinkAbout07-1087
11799
form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax: Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 341867507
As provided by section 6]21, 6]22, and 6]2] 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 KENNETH DILTZ & K FOJUTOWSKI DILTZ
Residence
1734 CREEK VISTA DR
NEW CUMBERLND, PA 17070-2213
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).
Kind of Tax:
(a)
1040
Tax: Period
Ending
(b)
12/31/2003
Identifying Number
(c)
XXX-XX-8260
Date of
Assessment
(d)
11/29/2004
Last Day for
Retillng
(e)
12/29/2014
Unpaid Balance
of Assessment
(f)
23876.89
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
, on this,
the
25th day of January
2007
Signature
Title
ACS
(800) 829-3903
for REGINA OWENS
o
For Optional Use by Recording Office
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23876.89
22-00-0008
Part 1 . Kept By Recording Office
(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 C.B. 409)
Form 668(Y)(c) (Rev, 2-2004)
CAT. NO 60025X