HomeMy WebLinkAbout09-06514660
Department of the Treasury -Internal Revenue Service
F°rm 668 (Yx~) Notice of Federal Tax Lien
(Rev. February 2004) }~,r, . ~ Q_ G 5 r ~ T L
Serial Number For Optional Use by Recortling Uttice
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #2 ~ ~ ~`~~ ~/y', Uri
Lien Unit Phone: (800) 913-6050 513137009 ~'jY
As provided by section 6321, 6322, and 6323 of the Internal Revenue ~, jv a G oU
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made ~,,, ~~ ~ ~~ `~
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
property belonging to this taxpayer for the amount of these taxes, and ' ~ o
addkional penakies, interest, and costs that may accrue. .r~
`~ "'' - ~'+
~
Name of Taxpayer EARL E RENSHAW ~~' ~ ~
~ n~~
~.
~
=~ (~ ~
PO BOX 159
CAMP HILL, PA 17001-0159 ~'r-~ -- C~~
1 ~
~ ~
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 6325(a).
Tax Period Date of Last Dayy for lJnpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (i7
1040 12/31/2002 XXX-XX-8758 10/30/2006 11/29/2016 31325.10
1040 12/31/2003 XXX-XX-8758 02/26/2007 03/28/2017 61293.26
1040 12/31/2004 XXX-XX-8758 07/23/2007 08/22/2017 79041.09
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
DETROIT, MI
This notice was prepared and signed at
the 30th day of January
Total ~ $ 1716 5 9.4 5
on this,
2009
Signature A Title
REVENUE OFFICER 22-06-1442
for DAVID M. SHROYER (717) 777-9625 x1320
(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) (Rev. 2-2004)
Part 1 -Kept Bt- Recordieg Office CAT. NO 60025X