HomeMy WebLinkAbout09-7551
Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Uen ?,Q 9 .7Ss'i Fn-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
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Lien Unit Phone: (800) 829-3903
592457009
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As provided by section 6321, 6322, and 6323 of the Internal Revenue 4 ygq
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made j 3.? P/7
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 BRIAN H CAREY tr ?
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Residence 390 BENYOU LN
NEW CUMBERLND, PA 17070-3074
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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,
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 Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Ref ling of Assessment
(a) (b) c) (d) (e (f)
CIVP 09/30/2005 XXX-XX-7069 10/13/2008 11/12/2018 11087.20
CIVP 12/31/2005 XXX-XX-7069 10/13/2008 11/12/2018 8576.74
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total J$ 19663.94
This notice was prepared and signed at DETROIT, MI
the 22nd day of October 2009
, on this,
Signature 7K? A )/? Title
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(ln(c) (Rev. 2-2004)
Part r - !wr+*nrr??(RS ?? - ,_