HomeMy WebLinkAbout09-6588Form 668 (Y)(c)
(Rev. February 2004)
4804
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien F TL-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 584731109 ncJI ???•?
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties) Ck. 8 8 9
have been assessed against the following-named taxpayer. We have made 3 3 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 ° a
property belon n to this to
gig taxpayer for the amount of these taxes
and Z'
m r °
C-)
,
additional penalties, interest, and costs that may accrue.
Name of Taxpayer ANTHONY W MICELI .
Residence 247 WOODS DR
MECHANICSBURG, PA 17050-2635
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RELEASE INFORMATION: For each assessment listed below,
the lien is refiled by the date given in column (e), this notice shall,
=
wing such date, operate as a certificate of release as defined
C6
Kin
d of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Day for
Refilling Unpaid Balance
of Assessment
(a) (b) (c) (d) (e) M
1040 12/31/2006 XXX-XX-0860 08/17/2009 09/16/2019 6595.89
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 6595.89
This notice was prepared and signed at
DETROIT, MI
the 24th day of September 2009
, on this,
Signature y yh4tdw Title
REVENUE OFFICER 22-06-1442
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for DAVID M. SHROYER (717) 777-9625 x1320
(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