HomeMy WebLinkAbout09-5649Form 668 (Y)(c)
(Rev. February 2004)
6152
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien -K, in a i; cia F.Tl-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903
570913009 nn nn
A- JOJ#
As provided by section 6321, 6322, and 6323 of the Internal Revenue ,a
Code, we are giving a notice that taxes (including interest and penalties) Gk- 7199
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, n
ie., °7 3
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 JASON W ARMOLD
Residence 223 SHAUFFNERTOWN RD r
NEW CUMBERLND, PA 17070-2523 y!,
IMPORTANT RELEASE INFORMATION: For each assessment listed below Q
,
unless notice of the lien is refiled by the date given in column (e), this notice shall, RV
on the day following such date, operate as a certificate of release as defined t*
in IRC 6325(a).
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Dayy for
Refiling Unpaid Balance
of Assessment
(a) (b) (c) (d) (e)
1040 12/31/2005 XXX-XX-2514 12/03/2007 01/02/2018 4820.85
1040 12/31/2006 XXX-XX-2514 10/15/2007 11/14/2017 1560.93
Place of Filing
Prothonotary
Cumberland County Total $ 6381.78
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI
on this,
the 06th day of August 2009
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)
Part 1 - Kept By Recording Office Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X