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HomeMy WebLinkAbout09-59572447 Department of the Treasury - Internal Revenue Service Form 668 ( Notice of Federal Tax Lien (Rev. February 2 2004) 004) Area: Serial Number SMALL BUSINESS/SELF EMPLOYED AREA #2 Lien Unit Phone: (800) 913-6050 575165809 As provided by section 6321, 6322, and 6323 of the Internal Revenue Code, we are giving a notice that taxes (including interest and penalties) 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. DETROIT, MI Name of Taxpayer ANTHONY W MICELI Residence 247 WODDS DR MECHANICSBURG, PA 17050-2635 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). Tax Period Date of Last Day for fillin R of Unpaid Bala Assessment Kind of Tax Ending Identifying Number Assessment g e (a) (b (c) (d) (e) (f) 1040 12/31/2005 XXX-XX-0860 07/27/2009 08/26/2019 5914.48 1040 12/31/2007 XXX-XX-0860 07/13/2009 08/12/2019 3109.90 1040 12/31/2008 XXX-XX-0860 07/13/2009 08/12/2019 2766.89 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 For Optional Use by Recording Uttice 09 -,5q5-7 V/9-00 ?c PL-0?' R-- d-3 6610 Total 1 $ 11791.27 This notice was prepared and signed at the 21st day of August , on this, 2009 Signature A Title ;r<r REVENUE OFFICER 22-06-1442 for DAVID M. SHROYER (717) 777-9625 x1320 (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