HomeMy WebLinkAbout09-1637Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien 7~_ ~ ~ . i~ 3 ~ ,c'r~.
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
23315509 /~
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Lien Unit Phone: (800) 913-6050 5 .,
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As provided by section 6321, 6322, and 6323 of the Internal Revenue ~ a3~3
Code, we are ghlfittg a notke that taxes (including interest and penah:ks)
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have been assessed agahlist the following-named taxpayer. We have made ~, ~a
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a demand for payment of this liability, but k remains unpaid. Therefore, ~:, ~•
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there is a lien in favor of the United States on all property and rights to f ~ ~ ~~~
property belonging to this taxpayer for the amount of these taxes, and , , ; ~ _,,
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addhiional penalties, interest, and costs that may accrue. ~=~ ~~ ~ /
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Name of Taxpayer HAROLD S IRWIN III -__ ~ ,~[
Residence
606 MOORELAND AVE -~ ~ ~c
CARLISLE, PA 17013-3730
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 ppa~yy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment RefiBng oiF Assessment
(a) b (c (d e
1040 12/31/2006 XXX-XX-8289 05/28/2007 06/27/2017 20591.74
1040 12/31/2007 XXX-XX-8289 06/09/2008 07/09/2018 14316.29
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 34908.03
This notice was prepared and signed at
the 10th day of March
DETROIT, MI
2009
on this,
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)
Part 1 -Kept Bp RecordinE OlRce Form 668(lf)(c) (Rev. 2-2004)
CAT. NO 60025X