HomeMy WebLinkAbout09-6793Form 668 (Y)(c)
(Rev. February 2004)
152
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien nJ vq 4 743 Fr1-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
587835309
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As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have nude
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. ? C7
Name of Taxpayer MARK J & SUSAN M KOPCHO L7'
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Residence 6338 N POWDERHORN RD ?-` (- `,3
MECHANICSBURG, PA 17050-8305 -_"t= 3
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PORTANT RELEASE INFORMATION: For each assessment listed below, c..a
ess notice of the lien is refiled by the date given in column (e), this notice shall,
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the day following such date, operate as a certificate of release as defined
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inl
RC 6325( a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2004 XXX-XX-2526 08/24/2009 09/23/2019 26343.76
1040 12/31/2006 XXX-XX-2526 09/07/2009 10/07/2019 17044.81
1040 12/31/2008 XXX-XX-2526 09/07/2009 10/07/2019 17527.39
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 60915.96
This notice was prepared and signed at
DETROIT, MI
on this,
the 06th day of October 2009
Signature A Title
REVENUE OFFICER 22-06-1407
for SEAN DUNLEAVY (717) 777-9626
(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 666(Y)(c) (Rev. 2-2004)
Part 1 -Kept BY Rtcardlgg Affic4 CAT, r17 F