HomeMy WebLinkAbout09-5651Form 668 (Y)(c)
(Rev. February 2004)
6152
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
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Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
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As provided by section 6321, 6322, and 6323 of the Internal Revenue Ch_ I/4 4
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made .7 9 ao y
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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 THOMAS R CARBONARO
Residence 316 E MEADOW DR
MECHANICSBURG, PA 17055-5185 s {
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, N
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 6 225(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) (f)
1040 12/31/2007 XXX-XX-5910 03/02/2009 04/01/2019 2178.96
6672 09/30/2004 XXX-XX-5910 08/18/2008 09/17/2018 70141.04
6672 12/31/2004 XXX-XX-5910 08/18/2008 09/17/2018 18162.28
6672 03/31/2005 XXX-XX-5910 08/18/2008 09/17/2018 10061.08
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 100543.36
This notice was prepared and signed at
the 07th day of August
DETROIT, MI
2009
, on this,
Signature i? Title
REVENUE OFFICER 22-06-1407
for SEAN DUNLEAVY (717) 777-9626
(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