HomeMy WebLinkAbout09-8702Form 668 (Y)(c)
(Rev. February 2004)
447
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 606260809
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As provided by section 6321, 6322, and 6323 of the Internal Revenue - l
J9.OO
Code, we are giving a notice that taxes (including interest and penalties) ? L e ?S 3s
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, ? a3S1 g?
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. 3
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Name of Taxpayer XING JU DONG tD .-4
c? ,ice-,
Residence 1225 RITNER :HWY
CARLISLE, PA 17013-9561 =7-
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IM
NT RELEASE INFORMATION: For each assessment listed below
,
unlee of the lien is refiled by the date given in column (e), this notice shall,
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e
da
on following such date
, operate as a certificate of release as defined
in I5(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) W
1040 12/31/2005 XXX-XX-5362 03/20/2006 04/19/2016 2655.58
1040 12/31/2007 XXX-XX-5362 07/14/2008 08/13/2018 2893.44
1040 12/31/2008 XXX:-XX-5362 05/18/2009 06/17/2019 126.78
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 5675.80
This notice was prepared and signed at
DETROIT, MI
the 10th day of December 2009
, on this,
Signature -yh?x ATitle
CS 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