HomeMy WebLinkAbout09-6287Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien 0 9_ ` a 4 7 r -r4-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903
580753,509
Pd.
As provided by section 6321, 6322, and 6323 of the Internal Revenue Ck- Fogg
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made 3 001-3
a demand for payment of this IiabEity, but it remains unpaid. Therefore,
there is a lien in favor of the United States on all property and rights to c`n ? Q
property belonging to this taxpayer for the amount of these taxes, and r
additional
penalties, interest, and costs that may accrue. -1
{ cn
HIM
Name of Taxpayer KENNETH DILTZ & K FOJUTOWSKI DILTZ tU -rM
ira
Residence
1734 CREEK VISTA DR ' ` -== t7
- M
NEW CUMBERLND, PA 17070-2213
PORTANT RELEASE INFORMATION: For each assessment listed below,
ss notice of the lien is refiled by the date given in column (e), this notice shall,
F
he day following such date, operate as a certificate of release as defined
o
in
RC 6325(a) .
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Reffling of Assessment
(a) (b) (c) (d) (e) M
1040 12/31/2006 XXX-XX-8260 07/23/2007 08/22/2017 547.54
1040 12/31/2007 XXX-XX-8260 06/02/2008 07/02/2018 5381.78
1040 12/31/2008 XXX-XX-8260 06/01/2009 07/01/2019 15040.09
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 20969.41
This notice was prepared and signed at DETROIT, MI
the 11th day of September 2009
, on this,
Signature y Yha-o/? Title
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