HomeMy WebLinkAbout09-1636Form 668 (Y)(c)
(Rev. February 20041
Department of the Treasury -Internal Revenue Service
Notice of Federal Tau Lien y~, „9_ ir, :~~ r'rL
A Serial Number For Optional Use by Recording Office
rea:
SMALL BUSINESS/SELF EMPLOYED AREA #2
523286409 ~~~_~7
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Lien Unit Phone: (800) 829-3903 ~(,
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As provided by section 6321, 6322, and 6323 of the lnternal Revenue ~ ~ 3 ~3
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the fottowing-named taxpa~-er. We have made ~,,4, .t z z 3 i 4
a demand for payment of this liability, but it remah>~s unpakl. Therefore,
there is a lien in favor of the united States on ail property and rights to
property beionghitg to this taxpayer for the amount of these taxes, and
additional penahks, interest, and costs that may aurae. ~ d o
Name of Taxpayer ALFRED H PHILLIPS ~? ~
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Residence 106 W BUTLER ST ;
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MT HOLLY S PGS , PA 17 0 6 5 -12 0 7 `' -~' `~ ~'
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, ~ rv
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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 Day for npaid
U
Kind of Tax
Ending
Identifying Number
Assessment
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(a) (b c d e
1040 12/31/2003 XXX-XX-0781 05/12/2008 06/11/2018 29008.55
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total I$ 29008.55
This notice was prepared and signed at
the 10th day of March
DETROIT, MI
2009
on this,
Signature A 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 valitlity of rvotice or reaerai ~ ax uen
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(lf)(c) (Rev. 2-2004)
Part f 'Kept fly Recordi~ Office CAT. NO 60025X