HomeMy WebLinkAbout09-0969N~ 0 9 - 9~ ~ ~T~
Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
IRev. February 20041
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903
514808009
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As provided by section 6321, 6322, and 6323 of the Internal Revenue `~ ~ 3--~'~ 3
Code, we are giving a notice that taxes (including interest and penalties) k'~ ~1Q 1 q ~
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
additional penalties, interest, and costs that may accrue.
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Name of Taxpayer FRED C MILLER c ~ a <~~
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Residence 1510 THOMPSON LN i
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MECHANICSBURG, PA 17055-6732 ~`''
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, - r,,~ ,
unless notice of the lien is refiled by the date given in column (e-, this notice shall, ~ j ~~
on the day following such date, operate as a certificate of release as defined ~ ;,-~C
in IRC 6325(a-.
Tax Period Date of Last D for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi~ng of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2006 XXX-XX-2678 09/24/2007 10/24/2017 4286.95
1040 12/31/2007 XXX-XX-2678 11/24/2008 12/24/2018 39979.13
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 44266.08
This notice was prepared and signed at
DETROIT, MI
the 05th day of February 2009
on this,
Signature ~ A ~yy~ 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) Form 668(Y)(c) IRev. 2-2004)
Part 1 -Kept 8Y Recording Office - - -