HomeMy WebLinkAbout09-8887Form 668 (Y)(c)
(Rev. February 2004)
4804
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
609205109 09 -??? ??
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including Interest and penalties) §fVq,
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, e 778
there is a lien in favor of the United States on all property and rights to O
property belonging to this taxpayer for the amount of these taxes, and
additional
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Name of Taxpayer ROBERT S CAUDILL
Residence 1334 S YORK ST
MECHANICSBURG, PA 17055-5104
NT RELEASE INFORMATION: For each assessment listed below,
e of the lien is refiled by the date given in column (e), this notice shall,
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following such date, operate as a certificate of release as defined
IRC
5(a).
Tax Period Date of Last D for Unp aid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) M
1040 12/31/2004 XXX-XX-5702 02/23/2009 03/25/2019 6462.06
1040 12/31/2005 XXX-XX-5702 02/16/2009 03/18/2019 12624.21
1040 12/31/2006 XXX-XX-5702 02/16/2009 03/18/2019 8736.55
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 27822.82
This notice was prepared and signed at DETROIT, MI
the 18th day of December 2009
, on this,
Signature A 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(Y)(c) (Rev. 2-2004)
Part I - Kept By Recording Office CAT. NO 60025X