HomeMy WebLinkAbout10-0416Form 668 (Y)(c)
(Rev. February 2004)
2447
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by R
SMALL BUSINESS/SELF EMPLOYED AREA #2 11?? 11
Lien Unit Phone: (800) 829-3903 613759410
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties) V1Q• 60 ??
have been assessed against the following-named taxpayer. We have made C
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.
e of Taxpayer AMERICAN
SECURITY
Office
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7Viltc
4 Z)-X if Z3
Residence 95 N ENOLA RD
ENOLA, PA 17025-2412
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,
on the day following such date, operate as a certificate of release as defined
in IRC 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)
944 12/31/2008 20-1649083 06/15/2009 07/15/2019 16613.67
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 16613.67
This notice was prepared and signed at DETROIT, MI
the 07th day of January 2010
, on this,
Signature ?- H -Y I, ATitle
22-00-0008
CS
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