HomeMy WebLinkAbout08-3520Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien ~ v~~ ~K~o ~,T--L
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 Q'~ tl~;pD
/1
'
Lien Unit Phone: (800) 913-6050 448264808 ~
Y
,"'T J
As provided by section 6321, 6322, and 6323 of the Internal Revenue ~ a 3 ~ `~~
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the follmnring-named taxpayer. We have made ~ ~ o.~ ~~
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. c
Name of Taxpayer THOMAS E CARBONARO 'Lr~'~ ~'
c__.
~~ ~ ~
' ~ 'T
~: [
' ~, rT3
w~) m+.
,
~
Residence 316 EAST MEADOW DRIVE ~ i ' '~
f-`r
MECHANICSBURG, PA 17055 ~~~~
,. ~ ~ ~n
.
IMPORTANT RELEASE INFORMATION: For each assessment listed below, o
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 Daayy for tJnpakl Balance
Kind of Tax Ending Identifying Number Assessment Reflling of Assessment
(a) b (c) d) (e) f)
6672 03/31/2004 XXX-XX-5910 04/04/2005 05/04/2015 54341.84
6672 06/30/2004 XXX-XX-5910 04./04/2005 05/04/2015 68617.71
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total I$ 122959.55
This notice was prepared and signed at
the 02nd day of June
DETROIT, MI
2008
on this,
Signature ~ H \Y~~..r~~ 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 R«ordin~ Office Form 668(1f0(c) (Rev. 2-20041
CAT. NO 60025X