HomeMy WebLinkAbout09-3583Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien y,,,.09. 3S-F-3 Fri
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 vdd pw r1 ,"
Lien Unit Phone: (800) 829-3903 550301109
As provided by section 6321, 6322, and 6323 of the Internal Revenue Ce 3,F93
Code, we are giving a notice that taxes (including interest and penalties) .2 ? s- g
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.
Name of Taxpayer HILDA I PHILLIPS c rv
C_ U C?
a
Residence 2440 LINCOLN ST - `?
CAMP HILL, PA 17011-3637 -' ° -`
TANT RELEASE INFORMATION: For each assessment listed below,
otice of the lien is refiled by the date given in column (e), this notice shall,
F
day following such date, operate as a certificate of release as defined
325(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d (e) (f)
1040 12/31/2007 XXX-XX-2222 05/26/2008 06/25/2018 10658.67
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 10658.67
This notice was prepared and signed at
the 21st day of May
DETROIT, MI
2009
, on this,
Signature I A \yh? 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)