HomeMy WebLinkAbout10-0414Form 668 (Y)(c)
(Rev. February 2004)
2447
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 613391510
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
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Name of Taxpayer FRANCIS C & ALICE M GORMAN
Residence 19 KENSINGTON SQ
MECHANICSBURG, PA 17050-2365
ASE INFORMATION: For each assessment listed below,
n is refiled by the date given in column (e), this notice shall,
=
such date, operate as a certificate of release as defined
6325(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) (f)
1040 12/31/2005 XXX-XX-5988 12/07/2009 01/06/2020 10979.45
1040 12/31/2006 XXX-XX-5988 11/23/2009 12/23/2019 3574.87
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 14554.32
This notice was prepared and signed at
the 06th day of January
DETROIT, MI
2010
, on this,
Signature -)? A Title
REVENUE OFFICER 22-06-1418
for JAKOB PEDERSEN (717) 777-9621
(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)(e) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X