HomeMy WebLinkAbout07-3824 48 5
Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004)
Serial Number For Optional U se by Recording Office
Area:
SMALL BUSINESS/SELF EM LOYED AREA #2
372340407
YLv.07- ~
~~y T
Lien Unit Phone: (800) 829 3903
As provided by section 6 21, 6322, and 6323 of the Internal Revenue
'~~
~
~
~ ~~ • ~v
Code, we are giving a not ce that taxes (including interest and penalties) •
--
f ~
have been assessed agains the fot(owing-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, Clc, / Sy ~~
there is a lien in favor of the United States on all property and rights to
d
~ ~ 9y S ~ y
property belonging to th taxpayer for the amount of these taxes, an rv
additional penalties, irate st, and costs that may accrue.
c
Name of Taxpayer JAMES
A MARTIN -..
~r~
.~. ~,.
~ ~ _ -cr
'
~' <
;- ~ m
C) .
Residence 213 G LL CT ~ ;~;
«., ~ T
~~
MEC ICSBURG, PA 17050-2057 ~~~ ~ q~
'%" ~`.
~...
"'~'
IMPORTANT RELEASE INFORMATION: For each assessment listed below, -~ '~
~
unless notice of the lien is efiled by the date given in column (e), this notice shall,
on the day following suc date, operate as a certificate of release as defined
in IRC 63251a).
Tax Peri Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (~
1040 12/31/2 O1 XXX-XX-2132 06/03/2002 07/03/2012 532.15
1040 12/31/2 02 XXX-XX-2132 05/26/2003 06/25/2013 3494.41
1040 12/31/2 03 XXX-XX-2132 09/13/2004 10/13/2014 5974.66
1040 12/31/2 04 XXX-XX-2132 05/30/2005 06/29/2015 11569.09
1040 12/31/2 05 XXX-XX-2132 07/31/2006 08/30/2016 5928.59
Place of Filing
Pr thonotary
Cu erland County Total $ 27498.90
Ca lisle, PA 17013
ared
notice was
re
Thi and signed at DETROIT, MI , on this,
p
p
s
the 19th day of June 2007
Signature A ~ Title
ACS
22-00-0008
for REGINA OWEN (800) 829-3903
(NOTE: Certificate of o ficer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal lax lien
Rev. Rul. 71-466, 1971 - 2 C,B. 409) Form 668(Y)(c) (Rev. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X