HomeMy WebLinkAbout08-6148Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien ~ a~,, ~ ~ y ~ f~
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #1 _/~ ~~ >/g,(~
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Lien Unit Phone: (800) 913-6050 478762208
As provided by section 6321, 6322, and 6323 of the Internal Revenue ~ ~ 5 9~~
Code, we are giving a notice that taxes (including interest and penalties
have been assessed against the following-named taxpayer. We have made ~,, ~iS"F9.z-
a demand for payment of this liability, but it remains unpaid. Therefore, n, N
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;c
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Name o
Taxpayer RANDY HALBERT DELANEY ~~~ .
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Residence 1841 SHEEPFORD RD z !~
MECHANICSBURG, PA 17055 ~ c.ri
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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 Refl
ng of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1999 XXX-XX-3564 08/21/2000 09/20/2010 4514.02
1040 12/31/2000 XXX-XX-3564 05/28/2001 06/27/2011 5341.11
1040 12/31/2006 XXX-XX-3564 07/16/2007 08/15/2017 2854.10
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 12709.23
This notice was prepared and signed at DETROIT, MI
the 01st day of October 2008
on this,
Signature ~ ~ ~Yti~~ TCA3E PROC MGR 21-00-0018
for PEGGY D'AMICO (866) 611-6191
- - - _ __
(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 Recording Ofltice Form 668(1f)(c) IRev. 2-20041
CAT. NO 60025X