HomeMy WebLinkAbout07-1928
3355
Form 668 <Y)< c)
(Rev. February 20041
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
~.07~ /9.:29' FT1-
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2 I
Lien Unit Phone: (800) 829-3903 354757007
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 FRANK L BAKER
For Optional Use by Recording Office
f<t-. p 11 w /4, (JO
eft- /(, 1/ I
) (")
(,) /fj/;I!3::'. ~
~ 'T}f";
1--;'-1 ~ - .
'""
c,;:)
,=
--'
o
."
:I!..,.,
n1r=
-crm
-:J CJ
(")1
:-~:' ~r>.
_:..~ "'"T.
:de")
;.:c-rn
.~
)>
=r:J
.<
>
v
:;;0
o
:0-
:g
co
:z
w
CO
Residence
237 N ENOLA RD
ENOLA, PA 17025-2430
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
1040
Tax Period
Ending
(b)
12/31/2002
12/31/2003
Identifying Number
(c)
XXX-XX-9985
XXX-XX-9985
Date of
Assessment
(d)
OS/26/2003
05/31/2004
Last Day for
Refiling
(e)
06/25/2013
06/30/2014
Unpaid Balance
of Assessment
(I)
1360.95
5219.40
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
6580.35
This notice was prepared and signed at
DETROIT, MI
, on this,
the
29th day of March
2007
for REGINA OWENS
Title
ACS
(800) 829-3903
22-00-0008
Signature
(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 Recordin, OffIce
Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X