HomeMy WebLinkAbout10-0072Form 668 M(c)
(Rev. February 2004)
804
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 609854309 16 .... rte 'rri
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As provided by section 6321, 6322, and 6323 of the Internal Revenue mar
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Code, we are giving a notice that taxes (including interest and penalties) C1 ?h2 $'L
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, a 3 5 7S?
there is a lien in favor of the United States on all property and rights to
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer XING JU DONG & XIU ZHU ZHU
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Residence 1225 RITNER HWY
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CARLISLE, PA 17013-9561
IMPORTANT RELEASE INFORMATION: For each assessment listed below, - -?"
unless notice of the lien is refiled by the date given in column (e), this notice shall, r,
on the day following such date, operate as a certificate of release as defined
in IC6C 6325(a).
Tax Period Date of Last Darr for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2002 XXX-XX-5362 04/15/2003 05/15/2013
1040 12/31/2002 XXX-XX-5362 04/28/2003 05/28/2013
1040 12/31/2002 XXX-XX-5362 07/25/2005 08/24/2015 30033.68
1040 12/31/2002 XXX-XX-5362 07/25/2005 08/24/2015
1040 12/31/2003 XXX-XX-5362 04/15/2004 05/15/2014
1040 12/31/2003 XXX-XX-5362 05/10/2004 06/09/2014
1040 12/31/2003 XXX-XX-5362 07/25/2005 08/24/2015 43509.52
1040 12/31/2003 XXX-XX-5362 07/25/2005 08/24/2015
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total J$
This notice was prepared and signed at
DETROIT, MI
73543.20
the 22nd day of December 2009
, on this,
Signature - Title
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 1 - Kept By Recording Office CAT. NO 60025X