HomeMy WebLinkAbout09-5528Form 668 (Y)(c)
(Rev. February 2004)
6152
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903
569663209
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As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties) Ck__ L a ?y,
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore , 2 -? 8 4 3
,
there is a lien In favor of the United States on all property and rights to t-?
property belonging to this taxpayer for the amount of these taxes, and ' =D
additional penalties, interest, and costs that may accrue. ' ' .
.
Name of Taxpayer ROANLD L CONAWAY c'
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Residence
5 LOCUST CIR
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MECHANICSBURG, PA 17050-3131 - _?
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, -
unless notice of the lien is refiled by the date given in column (e), this notice shall,
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Day for
Refiling Unpaid Balance
of Assessment
(a) (b) (c) (d) (e) M
1040 12/31/2001 XXX-XX-0686 01/12/2009 02/11/2019 7223.88
1040 12/31/2004 XXX-XX-0686 08/06/2007 09/05/2017 14231.78
1040 12/31/2005 XXX-XX-0686 07/14/2008 08/13/2018 6954.99
1040 12/31/2006 XXX-XX-0686 07/14/2008 08/13/2018 14533.72
1040 12/31/2007 XXX-XX-0686 07/21/2008 08/20/2018 6560.04
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 49504.41
This notice was prepared and signed at
the 31st day of July
DETROIT, MI
2009
, on this,
Signature H YkLr 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(Y)(c) (Rev. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X