HomeMy WebLinkAbout09-4483Form 668 (Y)(c)
(Rev. February 2004)
152
Department of the Treasury - Internal Revenue Service
Notice of Federal Tau Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903
560264309
. V 9 i -3 F TL_
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. e a
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Name of Taxpayer DINO H RABANAL n
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Residence 50 SEAVERS RD .. ?
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NEWVILLE, PA 17241-9529
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
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unless notice of the lien is refiled by the date given in column (e), this notice shall, un
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 Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2003 XXX-XX-4884 02/25/2008 03/27/2018 8735.52
1040 12/31/2004 XXX-XX-4884 02/25/2008 03/27/2018 3810.95
1040 12/31/2005 XXX-XX-4884 02/25/2008 03/27/2018 4680.14
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 17226.61
This notice was prepared and signed at
the 25th day of June
DETROIT, MI
2009
, on this,
Signature IK? A -Y ? 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 2 - Internal Revenue Service TDA Copy CAT. 668( (Rev. 2 2004)
CAT. NO 60025X