HomeMy WebLinkAbout10-0534Form 668 (Y)(c)
(Rev. February 2004)
447
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) 829-3903
617551210
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As provided by section 6321, 6322, and 6323 of the Internal Revenue 01Q
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Code, we are giving a notice that taxes (including interest and penalties) ,
have been assessed against the following-named taxpayer. We have made
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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
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property belonging to this taxpayer for the amount of these taxes, and ?,3 ?
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additional penalties, interest, and costs that may accrue.
Name of Taxpayer MICHAEL B COOK
Residence 2107 E COVENTRY LN
ENOLA, PA 17025-1276
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 Refilling of Assessment
(a) (b) (c) (d) (e) M
1040 12/31/2004 XXX-XX-1539 12/29/2008 01/28/2019 21252.10
1040 12/31/2005 XXX-XX-1539 12/29/2008 01/28/2019 32606.76
1040 12/31/2006 XXX-XX-1539 04/20/2009 05/20/2019 28426.13
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 82284.99
This notice was prepared and signed at
the 19th day of January
DETROIT, MI
2010
, on this,
Signature H 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(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X