HomeMy WebLinkAbout09-0650Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #6 lJ
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Lien Unit Phone: (800) 913-6050 512933709 ~
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As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penakies)
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have been assessed against the following-named taxpayer. We have made ~ ;~ .~ o S~3
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 ANTHONY W MICELI ~ O
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Residence 4902 CARLISLE PIKE PMB 225 f, ~ =~~~-,
MECHANICSBURG, PA 17050 ~' ; ~ ~~
IMPORTANT RELEASE INFORMATION: For each assessment listed below, ~-" ~~ '-' ~j
unless notice of the lien is refiled by the date given in column (e), this notice shall,
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on t
e day following such date, operate as a certificate of release as defined
in IRC 6325(aJ. ~ .,,,~
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) c (d) (e)
1040 12/31/2001 XXX-XX-0860 08/06/2007 09/05/2017 45746.64
1040 12/31/2003 XXX-XX-0860 08/06/2007 09/05/2017 14629.04
1040 12/31/2004 XXX-XX-0860 08/06/2007 09/05/2017 10419.63
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 70795.31
This notice was prepared and signed at DETROIT, MI
the 29th day of January 2009
on this,
Signature ~ A \ry~ Title
REVENUE OFFICER 26-07-2511
for KAREN L ALVEAR (702) 868-5392
(1MOTE: 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(lf7(c) (Rev. 2-2004)
Part 1 ~ Klpt ~ IRecording OR~cE l~AT AIA CAA7GY