HomeMy WebLinkAbout07-7100Form 668 (Y)(c)
iRev. February 2004)
152
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien ..~~ o ~ ~~ ~~ ~~
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #1
Lien Unit Phone: (800) 913-6050
404170907 ~~ ~~ ~, ~ ~
As provided by section 6321, 6322, and 6323 of the Internal Revenue ~ ~ c
19
Code, we are giving a notice that taxes (including interest and penalties) ~ ~
have been assessed against the following-named taxpayer. We have made ~ ~ ~ ~ ~ s 0
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. ~
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Name of Taxpayer LAWRENCE J FEDORKO -
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Residence 246 INDIAN CREEK DR ~ ; 'ti ~~`~`~
MECHANICSBURG, PA 17050 ~~~~' ~
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, ~
un{ess notice of the Tien 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) f)
1040 12/31/1999 XXX-XX-0112 08/12/2002 09/11/2012 804.80
1040 12/31/2001 XXX-XX-0112 07/30/2006 08/29/2016 39603.71
1040 12/31/2004 XXX-XX-0112 02/19/2007 03/21/2017 2367.51
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 42776.02
This notice was prepared and signed at
the 15th day of November
DETROIT, MI
2007
on this,
Signature ~ ~ ~Y2~~ Title
TXPYR RES REP 11-07-1403
for JACQUELYN FOLEY (717) 221-3490
(nvtc:. t;ertiticate of otticer 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 t -Kept B1- Recording OfRce CAT. NO 60025X