HomeMy WebLinkAbout09-3984Form 668 M(c)
(Rev. February 2004)
14
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien , 3 g y L
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA )#2
Lien Unit Phone: (800) 913-6050 555422109
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties)
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 BRIAN C LAMB
Residence 141 BUNGALOW RD
ENOLA, PA 17025-2313
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For Optional Use by Recording Office
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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 Day for
Kind of Tax Ending Identifying Number Assessment Reffling
1040 12/31/2004 XXX-XX-5140 110/26/20051 11/25/2015
Place of Filing
DETROIT, MI
Total I$ 2723.59
This notice was prepared and signed at
the 09th day of June
Signature
Prothonotary
Cumberland County
Carlisle, PA 17013
Unpaid Balance
of Assessment
2723.59
, on this,
2009
for MICHAEL W. COX
Title
ACS
(800) 829-3903
22-00-0008
(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 1 - Kept By Recording Office CAT. NO 60025X