HomeMy WebLinkAbout10-0409Form 668 (Y)(c)
(Rev. February 2004)
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) 913-6050 614976010 /6
As provided by section 6321, 6322, and 6323 of the Internal Revenue l
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the folowing-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, 7/3
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
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penalties, interest, and costs that may accrue. )
Name of Taxpayer WILLIAM G ADAMS & ROSEMARIE REDMOND
Residence 6803 SALEM PARK CIR
MECHMICSBURG, PA 17050
NT RELEASE INFORMATION: For each assessment listed below,
e of the lien is refiled by the date given in column (e), this notice shall,
F
7
following such date, operate as a certificate of release as defined
1
RC
5(a).
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Day f or
Re ling Unpaid Balance
of Assessment
a (b c) d e fl
1040 12/31/2003 XXX-XX-1132 03/13/2006 04/12/2016 17311.13
1040 12/31/2007 XXX-XX-1132 07/06/2009 08/05 /2019 n 9.24
o 98
1040 12/31/2008 XXX-XX-1132 11/16/2009 12/16 /2019 c
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?61?.50
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 28970.87
This notice was prepared and signed at
the 11th day of January
DETROIT, MI
2010
, on this,
Signature f? fi. -,
for MICHAEL W. COX
ACS
(800) 829-3903
22-00-0008
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the
Rev. Rul. 71-466, 1971 - 2 C.B. 409)
Part 1 - Kept By Recording Office
of Notice of Federal Tax lien
Form 669(Y)(c) (Rev. 2-2004)
CAT. NO 60025X