HomeMy WebLinkAbout09-0376Form 668 (Y)(c)
(Rev. February 2004)
4660
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien ~,, ;, g _ 3~r. ~-ri
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
508990909 _~ n~ ~
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As provided by section 6321, 6322, and 6323 of the Internal Revenue ~;~ /gq3
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the folbwing-named taxpayer. We have made
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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
properly belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
_
Name of Taxpayer CAROLYN N C ANACAN ~ o~,-~
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Residence 25 E LOUTHER ST 1 ~, ~
CARLISLE, PA 17013 i_. ~'' ~c.~
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, ~ ~ rv a'"
unless notice of the lien is refiled by the date given in column (el, this notice shall, - a ~A~
on the day following such date, operate as a certificate of release as defined ~ ~~ ~
in IRC 6325(a).
Tax Period Date of Last Darr for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Rui ng of Assessment
a) (b (c) d e
1040 12/31/2007 XXX-XX-5498 11/17/2008 12/17/2018 5255.71
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 5255.71
This notice was prepared and signed at
the 16th day of January
DETROIT, MI
2009
on this,
Signature ~ ~ ~/Z~~ Title
ACS 22-00-0008
for MICHAEL W. COX (800) 829-3903
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(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(lf)(c) (Rev. 2-2004)
part 1 -Kept By Recordine dflu CAT. NO ti0025X