HomeMy WebLinkAbout09-4358Form 668 (Y)(c)
(Rev. February 2004)
4804
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien y,, 09. vg s 8 F r-t-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 558804609
As provided by section 6321, 6322, and 6323 of the Internal Revenue Ck. q.) o
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made - -77
.z
-43/
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 SHANNON L MANDERBACH
Residence 704 WESTWOOD DR K ?!f
ENOLA, PA 17025-1528
a
IM INFORMATION: For each assessment listed below,
IMPORTANT RELEASE
unless e of the lien is refiled by the date given in column (e), this notice shall,
on the following such date, operate as a certificate of release as defined
in IRC
Tax Period Date of Last D for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refing of Assessment
(a (b (c) (d) a (f)
1040 12/31/2004 XXX-XX-3273 05/30/2005 06/29/2015 4655.00
1040 12/31/2005 XXX-XX-3273 05/28/2007 06/27/2017 833.95
1040 12/31/2006 XXX-XX-3273 03/24/2008 04/23/2018 5107.99
1040 12/31/2007 XXX-XX-3273 11/03/2008 12/03/2018 259.08
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 10856.02
This notice was prepared and signed at
the 19th 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)
Form 668( Nev. 2-2004)
Part 1 - Kept By Recording Office CAT.
CAT NO 60025X