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HomeMy WebLinkAbout08-4169 4805 Department of the Treasury -Internal Revenue Service Form 668 (Y)(c) NOtiCe of Federal Tax Lien " (Rev. February 20041 Og- /~ ~'~ Area: Serial Number For Optional Use by Recordin office SMALL BUSINESS/SELF EMPLOYED AREA #2 ~ Y~4 Utz Lien Unit Phone: (800) 829-3903 455279908 ~ As provided by section 6321, 6322, and 6323 of the internal Revenue C~.2 3 Sy9 Code, we are giving a notice that takes (including interest and penalties) ~ ~~~~ ~v have been assessed against the fo(Iowing-named taxpayer. We have made a demand for payment of this liability, but h remains unpaid. Therefore, there is a lien in favor of the united States on all property and rights to property bebnging to this taxpayer for the amount of these taxes, and ~ ~ o additional penalties, interest, and costs that may accrue. ~~ c_ Name of Taxpayer JOEY D WOOD - r~~ ~ _?: C r--- . .~ c_.. r ~'~-' _- ~~ ,F- -r~ Vii. ~~ r Residence 7 W LOCUST ST ~ c_r ~ ~~" P ENOLA, PA 17025-3027 :n~ -.. ~~ a :,..j © : 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 the day following such date, operate as a certificate of release as defined in IRC 6325(a). Tax Period Date of last Daayy for Unpaid Balance Kind of Tax Ending IdentifyMg Number Assessment RefllMg of Assessment (a (b) (c d) (e) f) 1040 12/31/2003 XXX-XX-3359 08/06/2007 09/05/2017 1818.17 1040 12/31/2004 XXX-XX-3359 08/06/2007 09/05/2017 4160.50 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total I$ 5978.67 This notice was prepared and signed at the 04th day of July DETROIT, MI 2008 on this, Signature ~ A ~/Z~~P~ 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, 1871 - 2 C. B. 409? Part 1 -Kept By Recording Office Form 668(lO(c) (Rev. 2-2004) CAT. NO 60025X