HomeMy WebLinkAbout09-4807Form 668 (Y)(c)
(Rev. February 2004)
4804
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien 7 ieykO7 f--rL
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
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t X900
Lien Unit Phone: (800) 829-3903 564233309 t-1
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As provided by section 6321, 6322, and 6323 of the Internal Revenue CKL 30 9
Code, we are giving a notice that taxes (including interest and penalties) 1/Pz
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.
N
Name of Taxpayer JUDY S COOK
Residence
2107 E COVENTRY LN i rv
ENOLA, PA 17025-1276 L7
IMPORTANT RELEASE INFORMATION: For each assessment listed below, M
unless notice of the lien is refiled by the date given in column (e), this notice shall,
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on the day following such date, operate as a certificate of release as defined W
-
c
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 12/31/2000 XXX-XX-9777 02/27/2006 03/28/2016 16874.86
1040 12/31/2002 XXX-XX-9777 02/27/2006 03/28/2016 18428.88
1040 12/31/2003 XXX-XX-9777 03/05/2007 04/04/2017 3241.68
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 38545.42
This notice was prepared and signed at
DETROIT, MI
the 10th day of July 2009
, on this,
Signature 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 Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X