HomeMy WebLinkAbout09-1977Form 668 (Y)(c)
(Rev. February 2004)
4805
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 525735609 y
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As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penakies) I
have been assessed against the folbwing-named taxpayer. We have made ~/Q • OD ~C~..
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 CK.~ ,3(0 ~?
property belonging to this taxpayer for the amount of these taxes, and
addhional penalties, interest, and costs that may accrue. ~,
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axpayer ROBERT A MILLER
Residence 6 0 5 B ST
ENOLA, PA 17025-1602
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 De~rr for lJnpaid Balance
Kind of Tax Ending Identifying Number Assessment RefNing of Assessment
(a) (b (c) (d (e)
1040 12/31/1999 XXX-XX-6457 12/12/2005 01/11/2016 1525.79
1040 12/31/2002 XXX-XX-6457 12/12/2005 01/11/2016 22828.57
1040 12/31/2003 XXX-XX-6457 11/06/2006 12/06/2016 63654.55
1040 12/31/2004 XXX-XX-6457 11/06/2006 12/06/2016 36901.95
1040 12/31/2005 XXX-XX-6457 12/25/2006 01/24/2017 23220.91
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~ $ 14 8131.7 7
This notice was prepared and signed at DETROIT, MI
the 20th day of March 2009
on this,
Signature ~ A \Yti1~~ REVENUE OFFICER 22 - 06 -1442
for DAVID M. SHROYER (717) 777-9625 x1320
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(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(lf7(c) (Rev. 2-2004)
Part 1 -Kept BY Recording Office CAT. NO 60025X