HomeMy WebLinkAbout09-4359Form 668 (Y)(c)
(Rev. February 2004)
4804
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien v 9 y3 55 F i j-
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650
558805609 0/4, 00
?d•?
As provided by section 6321, 6322, and 6323 of the Internal Revenue ?? yea
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made 7.3
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 JERRY L BOYEN
.c.. Z
N
Residence 3 310 TRINDLE RD <
CAMP HILL, PA 17011-4433
NT RELEASE INFORMATION: For each assessment listed below,
e of the lien is refiled by the date given in column (e), this notice shall,
F
following such date, operate as a certificate of release as defined
IRC
5(a).
Tax Period Date of Last Day for U npaid Balance
Kind of Tax Ending Identifying Number Assessment R ling of Assessment
(a (b) (c) (d) (e) M
1040 12/31/2005 XXX-XX-3755 03/10/2008 04/09/2018 16001.36
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 16001.36
This notice was prepared and signed at DETROIT, MI
the 19th day of June 2009
, on this,
Signature ?? A "yk ? Title
ACS 11-00-0000
for DEBRA K. HURST (800) 829-7650
(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 CAT Office CAT. 668(1 (Rev. 2 2004)
. NO 60025X