HomeMy WebLinkAbout07-4973Form 668 (lf7(c)
(Rev. February 2004)
4
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien ~ ~~ ~ ~9 .,~ F ?~
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800} 913-6050
383960007 // ~,~ R ~
~d,. K.~
As provided by section 6321, 6322, and 6323 of the Internal Revenlfe
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, ~„ j 5' ~ 1 ~ v
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 c `~ -
additional penalties, interest, and costs that may accrue. .,~' r_=. ~
~
Name of Taxpayer PAUL & PAMELA MATTUS - .
' ~~ ~ c~ ~
, r
_,
TA
;
~~ --`~ t
_ ,~
Residence 514 PARTRIDGE CT ~' ~'
MECHANICBURG, PA 17050-2597
_;,
' ~~~
~
'-_- ~-~~?`~
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 tha 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) (f)
1040 12/31/2005 XXX-XX-9982 11/27/2006 12/27/2016 22241.80
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total I$ 22241.80
This notice was prepared and signed at
the 10th day of August
DETROIT, MI
2007
on this,
Signature ~ y ~/~~'~~ Title
REVENUE OFFICER 22-06-1450
for JEFFREY WHITE (717) 777-9623 x1300
(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) Form 668(Y)(c) (Rev. 2-2004)
Part 1 -Kept By Recording Oirtce CAT. NO 60025X