HomeMy WebLinkAbout07-3095Form 668 (Y)(c)
IRev. February 2004)
355
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien .~ _ n ~ _ ~ n ~ ~ ~ TL,
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #5
Lien Unit Phone: (800) 913-6050
363365007 ~/g ~
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As provided by section 6321, 6322, and 6323 of the Internal Revenue ~
Code, we are giving a notice that taxes (including interest and penalties) C,Oc.,. / 7 35v
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, ~ ~ ~ 3 ~ ~ ~
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there is a lien in favor of the United States on all property and rights to ~ _~
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property belonging to this taxpayer for the amount of these taxes, and -~:
additional penalties, interest, and costs that may accrue. .
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Name of Taxpayer TERRY FREEMAN r*.~
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Residence 1219 HIGLANDS WAY -= 'rn
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MECHANICSBURG, PA 17050-8302 ..
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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 tRC 6325(a).
Tax Period Date of bast D for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi~ng of Assessment
(a) (b) c) (d) (e) (f)
1040 12/31/1999 XXX-XX-7223 10/23/2006 11/22/2016 9108.64
1040 12/31/2000 XXX-XX-7223 09/25/2006 10/25/2016 69401.29
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 78509.93
This notice was prepared and signed at DETROIT, MI
the 07th day of May 2007
on this,
Signature ~ y
for REBECCA BUTLER
Title
REVENUE OFFICER
(713) 209-4280
25-15-2943
(I+IOTE: 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) IRev. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X