HomeMy WebLinkAbout09-8253Form 668 (Y)(c)
(Rev. February 2004)
4
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien o 9- ? -5 v TL
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 ?{
Lien Unit Phone: (800) 913-6050 600154209 ??
As provided by section 6321, 6322, and 6323 of the Internal Revenue z-
Code, we are giving a notice that taxes (including interest and penalties)
`? S 9
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 GARY L SHIMMEL
c:) , _.
Residence 6611 CARLISLE PIKE ,f
MECHANICSBURG, PA 17050-1707
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
o
i
n I 6325(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Re Bing of Assessment
(a) (b) (c) (d) (e) (f)
6672 12/31/2006 XXX-XX-8510 11/02/2009 12/02/2019 1706.25
6672 03/31/2007 XXX-XX-8510 11/02/2009 12/02/2019 1706.25
6672 06/30/2007 XXX-XX-8510 11/02/2009 12/02/2019 1706.25
6672 09/30/2007 XXX-XX-8510 11/02/2009 12/02/2019 760.00
6672 03/31/2008 XXX-XX-8510 11/02/2009 12/02/2019 1706.25
6672 06/30/2008 XXX-XX-8510 11/02/2009 12/02/2019 1706.25
6672 09/30/2008 XXX-XX-8510 11/02/2009 12/02/2019 1706.25
6672 12/31/2008 XXX-XX-8510 11/02/2009 12/02/2019 1706.25
6672 03/31/2009 XXX-XX-8510 11/02/2009 12/02/2019 1159.95
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total J$ 13863.70
This notice was prepared and signed at
DETROIT, MI
, on this,
the 19th day of November 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 668(Y)(c) (Rev. 2-2004)
Part I -Kept By Recording Office CAT. NO 60()25X