HomeMy WebLinkAbout08-1425Form 668 (Y)(c)
lRev. February 2004)
15
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien ~ o ~, ~ ya ~ ~ TL
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903
423463508 E~~ ~
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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) CJe- ~4~ ~
have been assessed against the following-named taxpayer. We have made
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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 MARK A RENDE _!' ~ ~ ~
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Residence 6 4 MEADOWBROOK CT
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NEW CUMBERLND , PA 17 0 7 0 - 2 511 '~'" = --E~'
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
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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 63251a1.
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 12/31/2002 XXX-XX-4105 02/12/2007 03/14/2017 3166.98
1040 12/31/2003 XXX-XX-4105 02/12/2007 03/14/2017 2354.15
1040 12/31/2004 XXX-XX-4105 02/12/2007 03/14/2017 645.95
1040 12/31/2005 XXX-XX-4105 02/05/2007 03/07/2017 1378.77
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 7545.85
This notice was prepared and signed at
the 21st day of February
DETROIT, MI
2008
on this,
Signature ~ y i~l,~~ 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) Form 668(1f)(c) (Rev. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X