HomeMy WebLinkAbout09-6109Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien , ?? 4^ 6 i6 9 F TL-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 n t 19CrZ'
P4
Lien Unit Phone: (800) 829-3903 577759509
As provided by section 6321, 6322, and 6323 of the Internal Revenue 5-ga3
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made 3 0
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3.2
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.
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Name of Taxpayer MICHAEL A FOLEY C: .°
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Residence 50 S 22ND ST APT 2 CO
CAMP HILL, PA 17011-4605 c -O
IMPORTANT RELEASE INFORMATION: For each assessment listed below, rv
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 Vl
in IRC 6325(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) W
1040 12/31/2004 XXX-XX-8772 10/27/2008 11/26/2018 5656.78
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 5656.78
This notice was prepared and signed at
DETROIT, MI
the 01st day of September 2009
, on this,
tle
Signature A AC
22-00-0008
S
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 I - Kept By Recording Office CAT. NO 60025X