HomeMy WebLinkAbout10-0500Form 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) 913-6050 615957610
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 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 ??- a3 LL?t j
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer CHRISTOPHER M GILBERT
Residence 2435 DEWEY LN
ENOLA,'PA 17025-1360
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 Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) M
6672 03/31/2005 XXX-XX-3946 01/08/2007 02/07/2017 3045.35
6672 06/30/2005 XXX-XX-3946 01/08/2007 02/07/2017 11091.36
6672 09/30/2005 XXX-XX-3946 01/08/2007 02/07/2017 20110.36
6672 12/31/2005 XXX-XX-3946 01/08/2007 02/07/2017 21115.16
6672 06/30/2006 XXX-XX-3946 01/08/2007 02/07/2017 4745.77
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 60108.00
This notice was prepared and signed at
the 13th day of January
DETROIT, MI
2010
, on this,
Signature Title
REVENUE OFFICER 22-06-1442
for DAVID M. SHROYER (717) 777-9625 x1320
(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