HomeMy WebLinkAbout07-1794
7116
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(C)
(Rev. February 2004)
Notice of Federal Tax Lien
)U;.t)7. /1t}t{ F TL
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 353197907
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 TRAVIS T STELZER
For Optional Use by Recording Office
Pd. p~ .,q.ou
Gr.- 5.1 DS
~. / 9b g9"L
n
c,
~ }::
~~S'
~.cu
,j
""
=
c=
.....,j
-.:r
~
:;::::;,1
(~>
<:::)
Residence
807 WELLINGTON DR
CARLISLE, PA 17013
L.
~
o
~
--I
:J:~
[11 -'J
-0 F.i
~()o
~~J~~:
.~~? f~
C5h1
..-{
~
:.<
I'
>
-r;;."'"
~
w
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 IRC 6325(a).
Tax Period Date of Last Da.r. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi ng of Assessment
(a) (b) (c) (d) (e) (0
6672 09/30/2004 XXX-XX-7678 02/19/2007 03/21/2017 7280.91
6672 12/31/2004 XXX-XX-7678 02/26/2007 03/28/2017 10814.95
6672 03/31/2005 XXX-XX-7678 02/26/2007 03/28/2017 17679.39
6672 09/30/2005 XXX-XX-7678 02/26/2007 03/28/2017 6974.87
6672 12/31/2005 XXX-XX-7678 02/26/2007 03/28/2017 10765.79
6672 03/31/2006 XXX-XX-7678 02/19/2007 03/21/2017 8927.73
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
62443.64
This notice was prepared and signed at
DETROIT, MI
, on this,
the
22nd day of March
2007
Signature
Title
REVENUE OFFICER
(717) 777-9623 x1300
22-06-1450
for JEFFREY WHITE
(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)
Part 1 . Kept By Recording Office
Form 668{Y){c) (Rev. 2-2004)
CAT. NO 60025X