HomeMy WebLinkAbout09-6488Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien yu o -96 y 7 8 F ri-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 •/7 0r6
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Lien Unit Phone: (800) 913-6050 583183509 ,
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As provided by section 6321, 6322, and 6323 of the Internal Revenue
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Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made 2 3j a P
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 n N
additional penakies, interest, and costs that may accrue.
Name of Taxpayer DERRICK P & MARY W WILLIAMSON
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Residence 31 SKYLINE DR
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MECHANICSBURG PA 17050-1751 -'
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, L4
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 Unpaid 'Balance
Kind of Tax Ending Identifying Number Assessment RefI fig of Assessment
(a) (b) (c) (d e
1040 12/31/2008 XXX-XX-8945 07/27/2009 08/26/2019 111010.56
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 111010.56
This notice was prepared and signed at
DETROIT, MI
the 18th day of September 2009
, on this,
Signature A 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 668M(c) (Rev. 2-2004)
Part I - Kept By Recording Office CAT. NO 60025X