HomeMy WebLinkAbout09-2525Form 668 (Y)(c)
(Rev. February 2004)
480
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
"Odd pt
al?.(!D
Lien Unit Phone: (800) 829-3903 535587809 ff
As provided by section 6321, 6322, and 6323 of the Internal Revenue Ck y? y3
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
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 C:Z) 0
additional penalties, interest, and costs that may accrue. `n
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Name of Taxpayer MICHAEL A CARMO
Residence PO BOX 411 a ;._
;:7>;-,
CARLISLE, PA 17013-0411
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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 Dar?rr for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a (b (c) (d) e) (f)
941 06/30/2005 25-1582440 12/26/2005 01/25/2016 8528.10
941 09/30/2005 25-1582440 12/26/2005 01/25/2016 1719.92
CIVP 12/31/2003 25-1582440 12/05/2005 01/04/2016 330.00
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total J$ 10578.02
This notice was prepared and signed at DETROIT, MI
the 14th day of April 2009
, on this,
Signature A "Y? 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) Form 668(Y)(c) (Rev. 2-2004)
Part t . Kept By Recording Office rnT Mr) annlRY