HomeMy WebLinkAbout09-7546Form 666 (Y)(c)
(Rev. February 2004)
4660
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien ,. 69. 7YV6 Fri-
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 591934709
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 made
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.
Name of Taxpayer CALVIN JOHNSON
For Optional Use by Recording Office
C,k- 4 yef 9
& ,l 3;1 Fl2Z-?
Residence 105 LIGHTHOUSE DR
MECHANICSBURG, PA 17050-2442
114PORTANT RELEASE INFORMATION: For each assessment listed below,
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 6325(a).
Tax Period Date of Last D for
Kind of Tax Ending T entifying Number Assessment Refing
1040 112/31/20051 XXX-XX-9114 103/02/2009 1 04/01/2019
1040 12/31/2006 XXX-XX-9114 03/02/2009 04/01/2019
Place of Filing
C.) a
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Unpaid Balance
of Assessment
150224.81
75729.50
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 225954.31
This notice was prepared and signed at DETROIT, MI
the 21st day of October 2009
on this,
tle
Signature A 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