HomeMy WebLinkAbout09-3991Form 668 (Y)(c)
(Rev. February 2004)
804
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien X f 3 9 < r?
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 /1
013
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Lien Unit Phone: (800) 913-6050 554138609 Q- ,
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As provided by section 6321, 6322, and 6323 of the Internal Revenue C? 53,
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have node 7./Z
a demand for payment of this liability, but it remains unpaid. Therefore,
there is a Ikn in favor of the united States on all property and rights to rv
property belonging to this taxpayer for the amount of these taxes, and
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additional penalties, interest, and costs that may accrue. Ir
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Name of Taxpayer NGANDU T LUKUSA Mr_
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Residence
5305 OXFORD DR APT 130
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MECHANICSBURG, PA 17055-0000 rV J
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 Darr for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment ReBnng of Assessment
(a b c d (0) M
1040 12/31/2006 XXX-XX-0389 05/04/2009 06/03/2019 704.21
1040 12/31/2007 XXX-XX-0389 05/04/2009 06/03/2019 3839.01
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 4543.22
This notice was prepared and signed at
the 05th day of June
DETROIT, MI
2009
, on this,
Signature y 1?? Title REEVENUE OFFICER 22-06-1408
for MIGNA RODRIGUEZ (717) 777-9622
(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 66SM(c) (Rev. 2-2004)
Part 1 - Kept By RecordMg OHke CAT_ NO R0075X