HomeMy WebLinkAbout08-4903Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
Serial Number For Optional Use by Recording Office
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903
462336208 ~~ r~~ ~~
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties) C~ a C~S3
have been assessed against the following-named taxpayer. We have made
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 ~ ~- oZ ~ 3 l7
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 MICHAEL JESTER -
Residence 6789 CARLISLE PIKE
MECHANICSBURG, PA 17050-1712
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 63251a).
Tax Period Date of Last D for
~ Unpaid Balance
Kind of Tax Ending Identifying Number Assessment ng
R,efi of Assessment
(a (b) (c) d) (e) (
1040 12/31/2005 XXX-XX-0703 09/11/2006 10/11/2016 2632.07
1040 12/31/2006 XXX-XX-0703 06/04/2007 07/04/2017 2581.78
1040 12/31/2007 XXX-XX-0703 05/26/2008 06/25/2018 397.27
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~ $ 5 611.12
This notice was prepared and signed at
the 07th day of August
w
'^-.+ '-C
DETROIT, MI
2008
on this,
Signature ~ A `y~~~~ Title
ACS 22-00-0008
for MICHAEL W. COX (800) 829-3903
(MOTE: 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(Y)(c) IRev. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X