HomeMy WebLinkAbout09-5716Form 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
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As provided by section 6321, 6322, and 6323 of the Internal Revenue C'4. 7?zw
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made .2, 9,3 F 9
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
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Name of Taxpayer FRANK F LEAPER -r
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Residence PO BOX 164 r_1 C7-7
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MT HOLLY SPRINGS, PA 17065-0164 ,c1
ORTANT RELEASE INFORMATION: For each assessment listed below ,
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ss notice of the lien is refiled by the date given in column (e), this notice shall,
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he day following such date, operate as a certificate of release as defined
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in
C 6325(a).
T ax 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 12/31/2005 XXX-XX-7503 07/17/2006 08/16/2016 1647.51
1040 12/31/2006 XXX-XX-7503 10/20/2008 11/19/2018 8773.58
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total J$ 10421.09
This notice was prepared and signed at
the 11th day of August
DETROIT, MI
2009
, on this,
Signature H 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