HomeMy WebLinkAbout08-7052Form 668 (Y)(c)
(Rev. February 2004)
47
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien ~ ~ ~ ~. ,~ ~ ~ ~ r T t/
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
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Lien Unit Phone: {800) 829-3903 495515808 ~
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As provided by section 6321, b322, and 6323 of the Internal Revenue C -L a 8 j.~ „z
Code, we are giving a notke that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made ~
~ ~ ~ ~ 73
a demand for payment of this liability, but it remains unpaid. Therefore,
there is a lien in favor of the lJnited States on all property and rights to
property belonging to this taxpayer for the amount of these taxes, and C, ~
additional penalties, interest, and costs that may accrue. ~ '-~-,
Name of Taxpayer ALFRED J & MARIA A LAZAR z ~ .-:
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Residence 455 SAINT JOHNS DR --o .-'~Y-
CAMP HILL, PA 17011-1330 -~'~ },~`~
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, =; ~~ -`z~
unless notice of the lien is refiled by the date given in column (e), this notice shall, q ~
on the day following such date, operate as a certificate of release as defined
in 1RC 6325(a).
Tax Period Date of for
t.ast D unpaid Balance
Kind of Tax Ending Identifying Number Assessment ~
Re8 ng of Assessment
(a) b (c d e) f)
1040 12/31/2002 XXX-XX-7305 04/09/2007 05/09/2017 8792.52
1040 12/31/2003 XXX-XX-7305 05/14/2007 06/13/2017 17260.11
1040 12/31/2005 XXX-XX-7305 02/05/2007 03/07/2017 7286.84
1040 12/31/2006 XXX-XX-7305 05/28/2007 06/27/2017 2369.76
1040 12/31/2007 XXX-XX-7305 05/26/2008 06/25/2018 1820.46
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 37529.69 `~ ~`"'
This notice was prepared and signed at DETROIT, MI
the 19th day of November 2008
on this,
Signature H `YZ~~~:~ ACS 22-00-0008
for MICHAEL W. COX (800) 829-3903
(NOTE: Certificgte 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 Form 668(ln(t) lRev. 2-2004)
Part 1 -Kept By Rscordio~ Office CAT. NO 60025X