HomeMy WebLinkAbout09-3783Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien nd n9- 3 ?3 rTL
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 d t ?g
Lien Unit Phone: (800) 913-6050 551702809
As provided by section 6321, 6322, and 6323 of the Internal Revenue C t 5'/
?s
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made a
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 ROBERT E & LISA G JACKSON
Residence
2000 SHEEPFORD RD
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MECHANICSBURG, PA 17055-6734 `
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ORTANT RELEASE INFORMATION: For each assessment listed below,
s notice of the lien is refiled by the date given in column (e), this notice shall,
7
e day following such date, operate as a certificate of release as defined
0
inIRC
6325(a).
Tax Period Date of Last
Da Unpaid Balance
Kind of Tax Ending Identifying Number Assessment j
R4 In9 of Assessment
(a) (b) (c) d (e (f)
1040 12/31/2000 XXX-XX-4496 11/03/2008 12/03/2018 8314.64
1040 12/31/2001 XXX-XX-4496 11/03/2008 12/03/2018 4548.60
1040 12/31/2002 XXX-XX-4496 11/03/2008 12/03/2018 9109.35
1040 12/31/2004 XXX-XX-4496 12/01/2008 12/31/2018 336.08
1040 12/31/2005 XXX-XX-4496 12/29/2008 01/28/2019 4048.32
1040 12/31/2006 XXX-XX-4496 02/09/2009 03/11/2019 285.41
1040 12/31/2007 XXX-XX-4496 12/29/2008 01/28/2019 5614.05
Place of Filing
Prothonotary
Cumberland County Total $ 32256.45
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI
the 28th day of May 2009
, on this,
Signature A \Y-h? Title
REVENUE OFFICER 22-06-1450
for JEFFREY WHITE (717) 777-9623 x1300
(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 By Recording Office Form 668(lt?(cT (loin A MIRY