HomeMy WebLinkAbout09-8588Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien ?1, t, h.s 8 F T-4-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 603418209
As provided by section 6321, 6322, and 6323 of the Internal Revenue
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a 8y
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made v 9 -7 N
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 ANTHONY W MICELI
Residence
247 WOODS DR - )
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MECHANICSBURG, PA 17050-2635 >,?t
IMPORTANT RELEASE INFORMATION: For each assessment listed below, t
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unless notice of the lien is refiled by the date given in column (e), this notice shall,
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e
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ease as
on the day following such date, operate as a certificate o -
in IRC 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 12/31/2000 XXX-XX-0860 10/26/2009 11/25/2019 10711.10
1040 12/31/2002 XXX-XX-0860 10/26/2009 11/25/2019 58820.72
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 69531.82
This notice was prepared and signed at
DETROIT, MI
the 02nd day of December 2009
, on this,
Signature H REVENUE OFFICER 22-06-1442
'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