HomeMy WebLinkAbout09-4355Form 668 (Y)(c)
(Rev. February 2004)
4804
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien 109. 113 ss F rl-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 0-d
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Lien Unit Phone: (800) 829-3903 558353009 <
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As provided by section 6321, 6322, and 6323 of the Internal Revenue y
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Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made ,? 7 31
a demand for payment of this liability, but it remains unpaid. Therefore,
there is alien 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 CHARLES J ILARIA III
Residence 3236 SPRING RD °
CARLISLE, PA 17013-8741
ELEASE INFORMATION: For each assessment listed below,
'
he lien is refiled by the date given in column (e), this notice shall,
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f
wing such date, operate as a certificate of release as defined
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1RC6325(
a
)
.
Tax Period Date of Last Day for Unpaid Balance
Ki
nd of Tax
Ending
Identifying Number
Assessment
Re
f ing
of Assessment
(a) (b (c) (d) ( e) (f)
1040 12/31/2003 XXX-XX-2754 05/19/2008 06/18/2018 11389.22
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 11389.22
This notice was prepared and signed at
the 18th day of June
DETROIT, MI
2009
, on this,
Signature A 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)
Part 1 - Kept By Recording Office CAT. 668( (Rev. 2-2004)
CAT. NO 60025X