HomeMy WebLinkAbout08-5651Form 668 (Y)(c)
(flev. February 2004)
5
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien ~, n a~ `~~ s,~ F'T~
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 ~Jd /J~ r /q.Up
Lien Unit Phone: (800) 913-6050 473231108
As provided by section 6321, 6322, and 6323 of the Internal Revenue - ~ y.3 ~ 5~
~C
Code, we are giving a notice that taxes (including interest and penalties) .
have been assessed against the following-named taxpayer. We have made ;~ ~
f ~ y p~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 c
property belonging to this taxpayer for the amount of these taxes, and
~
additional penalties, interest, and costs that may accrue.
~r,
l~::x -~
~
Name of Taxpayer BRADLEY C MCALLISTER f.}
~ ' ~~?
~_ s~ _:~ ~
`
Residence 514 0 ERBS BRIDGE RD ~
rn
`~• %_ co '-~i
MECHANICSBURG, PA 17050-2432
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 6325ia).
Tax Period Date of last Daayy for Unpaid Balance
Kind of Tax Ending Identifying Humber Assessment Re8liing of Assessment
(a) (b) (c) (d) (e (~
6672 03/31/2006 XXX-XX-8482 08/18/2008 09/17/2018 900.70
6672 06/30/2006 XXX-XX-8482 08/18/2008 09/17/2018 2613.66
6672 09/30/2006 XXX-XX-8482 08/18/2008 09/17/2018 3254.60
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 6768.96
This notice was prepared and signed at
DETROIT, MI
the 12th day of September 2008
on this,
Signature ~ A ~Yy~-~~ Title
REVENUE OFFICER 22-06-1450
for JEFFREY WHITE (717)- 777-9623 x1300
- -
(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. 4091
Part 1 - K t Recording Office Form 668(ln(c) {Rev. 2-2004)
~ ~ CAT. NO 60025X