HomeMy WebLinkAbout10-0532Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 2004) Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
617511810 1-
/V 1 r3;L
Lien Unit Phone: (800) 829-3903 -
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??j 148
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 ?Z7L
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer MICHAEL C & AGNES D MAROON
Residence 1508 LOUISA LN
MECHANICSBURG, PA 17050-7281
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
1040 12/31/1997 XXX-XX-7420 04/10/2000 05/10/2010 597.23
?- ay
Ex
i?
°- T
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 597.23
This notice was prepared and signed at
the 19th day of January
DETROIT, MI
2010
, on this,
Signature A 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( I 2-20
Part 1 - Kept By Recording Office CAT. NO O
CAT 60025X
X