HomeMy WebLinkAbout09-8740Form 668 (Y)(c)
(Rev. February 2004)
804
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650 607540909
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.
For Optional Use by Recording Office
T ??• fed ?J?
1 a3 s2 7S
Name of Taxpayer PETER C MALLAR
Residence 417 ORCHARD LN
MECHANICSBURG, PA 17055-6142
NT RELEASE INFORMATION: For each assessment listed below,
unless e of the lien is refiled by the date given in column (e), this notice shall,
on the following such date, operate as a certificate of release as defined
IMPO:6325(a).
in IRC Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2007 XXX-XX-4214 05/26/2008 06/25/2018
1040 12/31/2007 XXX-XX-4214 09/21/2009 10/21/2019 6803.37
t~
M _-
_- - iT
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 6803.37
This notice was prepared and signed at
DETROIT, MI
the 15th day of December 2009
, on this,
Signature A ,eQ ATitle
CS 11-00-0000
2?? for DEBRA K. HURST (800) 829-7650
(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