HomeMy WebLinkAbout09-6586Form 668 (Y)(c)
(Rev. February 2004)
4804
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien ?to 01 6 5 Ft. F- Tt-
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1 o gl5
P
d
Lien Unit Phone: (800) 829-7650 584673609 . 4
As provided by section 6321, 6322, and 6323 of the Internal Revenue FS 9' 9
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made 3l 3 F z?
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 a
additional penalties, interest, and costs that may accrue. C o q
Name of Taxpayer RON R HARMON °t'
%_ o
--t
rn
az?•
? r
tV
Residence 117 EWE RD
'c:.
j
-r
MECHANICSBURG, PA 17055-4870 Ra
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
Cil
t?
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 1i 325(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) (f)
1040 12/31/2006 XXX-XX-0580 01/05/2009 02/04/2019 1071.96
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 1071.96
This notice was prepared and signed at
DETROIT, MI
the 24th day of September 2009
, on this,
Signature A Title
ACS 11-00-0000
for DEBRA K. HURST (800) 829-7650
(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 rp. T , NO E0025X