HomeMy WebLinkAbout07-4307Form 668 (Y)(c)
(Rev. February 20041
4805
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien _.~, ~ ~ y ~n ~ ~. rL
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 ~
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Lien Unit Phone: (800) 829-3903 377784307 ~ ~
As provided by section 6321, 6322, and 6323 of the Internal Revenue ~ iGi~a
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made ~. / ~~ ~ ~ y
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 ~-~ ~' Q
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additional penalties, interest, and costs that may accrue. -, ~ ~ ~ :~
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Name of Taxpayer RICHARD S DAVIS - r-~ ~',;`
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Residence
201 W MAIN ST # 1ST-FL ~~.~
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MECHANICSBURG, PA 17055-6226 '' ~° ~ ;~ i~''
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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 IRC 6325(a). ,
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (~
1040 12/31/2001 XXX-XX-3339 03/06/2006 04/05/2016 8872.74
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 8 8 7 2 .7 4
This notice was prepared and signed at DETROIT, MI
the 13th day of July 2007
on this,
Signature ~ ~ ~Y~~~~ Title
ACS 22-00-0008
for REGINA OWENS (800) 829-3903
(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