HomeMy WebLinkAbout08-7051Form 668 (Y)(c)
(Rev. February 2004)
2447
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien -~,^ ~~ ~. ,~ b ~ ~ r- r L
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
1
708
( ~~9'(lz)
~
~~
Lien Unit Phone: (800) 829-3903 4955
5 •
~
As provided by section 6321, 6322, and 6323 of the Internal Revenue ~ a ~3a L
Code, we are giving a notice that taxes (including interest and penalties) ~ ~~ 7 ~. 7z
have been assessed against the follmlving-named taxpayer. We have made
a demand for payment of this liabilky, but k 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
addkional penakies, interest, and costs that may accrue. ~..~
Name of Taxpayer ALFRED J LAZAR ~
_
Residence 455 SAINT JOHNS DR ! T,
rv r `+'
CAMP HILL, PA 17011-1330 - _'t_+
IMPORTANT RELEASE INFORMATION: For each assessment listed below, - r`? ~.; ~`
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 Identifying Number Assessment Reflli ng of Assessment
(a (b) (c) d) e) (f)
1040 12/31/2004 XXX-XX-7305 05/21/2007 06/20/2017 16046.98
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 1.7013
Total ~$ 16046.98
This notice was prepared and signed at
DETROIT, MI
the 19th day of November 2008
on this,
Signature A Title
ACS 22-00-0008
for MICHAEL W. COX (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) Form 668(ln(c) IRev. 2-2004)
pan 1 'Kept sY Record~nS ice CAT. NO 60025X