HomeMy WebLinkAbout09-6107Form 668 (Y)(c)
(Rev. February 2004)
4804
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien IL& 607- L, //j -7 P- rL
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 40 a7 19,ov
Lien Unit Phone: (800) 913-6050 577523909
As provided by section 6321, 6322, and 6323 of the Internal Revenue 5.9.73
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.
Name of Taxpayer TRACY BOGANS
o
Residence
550 BRENTWATER RD ' to
CAMP HILL, PA 17011
NT RELEASE INFORMATION: For each assessment listed below
CCr 3?
?
,
e of the lien is refiled by the date given in column (e), this notice shall,
F Y
following such date, operate as a certificate of release as defined _
L'
N
IRC
5(a).
Tax Period Date of Last Day for U npaid'%ala&
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2006 XXX-XX-0946 08/17/2009 09/16/2019 52428.81
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 52428.81
This notice was prepared and signed at
the 31st day of August
DETROIT, MI
2009
, on this,
Signature H Title
REVENUE OFFICER 22-06-1441
for DENNIS P ZMUDZIN (717) 777-9624
(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