HomeMy WebLinkAbout08-313515L
Form 668 (Y)(c}
(Rev. February 2004)
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
DETROIT, MI
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESSjSELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903
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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) ~~ ~~ yYa
have been assessed against the following-named taxpayer. We have made ~ ,~ ~ ry ~ p ~~
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 ROBERT M NlUMMA -.-;'t`
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Residence 19 E MARBLE ST ~ w ~~?<
MECHANICSBURG, PA 17055-4258 w~`
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, v ~
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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 6325(a).
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Dayy for
Refiling Unpaid Balance
of Assessment
(a) (b) (c) (d) (e) (fl
1040 12/31/2003 XXX-XX-9571 04/15/2004 05/15/2014
1040 12/31/2003 XXX-XX-9571 10/03/2005 11/02/2015 13494.03
1040 12/31/2003 XXX-XX-9571 10/03/2005 11/02/2015
1040 12/31/2004 XXX-XX-9571 05/30/2005 06/29/2015 816.99
Nlace of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 14311.02
This notice was prepared and signed at
the
07th day of May
2008
on this,
Signature ~ ~ \YZ~~~ 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 - K t Form 668(lf7(t) (Rev. 2-2004-
ep By Recording Office CAT. NO 60025x