HomeMy WebLinkAbout09-0968I ~o. U 9 - y ~ ~ ,G7-~
Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 20041 Notice Of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL.BUSINESSfSELF EMPLOYED AREA #2
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As provided by section 6321, b322, and 6323 of the Internal Revenue c~ ~ ;,~ ~ ~/ 3
Code, we are giving a notice that taxes (including interest and penalties) ~
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have been assessed against the following-named taxpayer. We have made X3-
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
additional penalties, interest, and costs that may accrue. n a ~
Name of Taxpayer MICHAEL P WAGNER w ~`~`' -,~ .~
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Residence 4 0 7 PINE RD ' " ; ``~'
MT HOLLY SPRINGS, PA 17065-1816 ~' ~-
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IMPORTANT RELEASE INFORMATION: For each assessment fisted 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 6325ia).
Tax Period Date of Last Dayy for llnpakl Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b (c) (d) (e)
1040 12/31/2004 XXX-XX-9118 03/05/2007 04/04/2017 8679.27
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~ $ 8 6 7 9.2 7
This notice was prepared and signed at DETROIT, MI
the 05th day of February 2009
on this,
Signature ~ R ~Y2~~ 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)
Part 1 - Kit BY Recording Office Form 668(1f7(c) IRev. 2-2004)