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HomeMy WebLinkAbout10-1036Form 668 (Y)(c) (Rev. February 2004) 4 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 #3 Li U i Ph 622352210 0 _ 1 " I m, en n t one: (800) 913-6050 , g As provided by section 6321, 6322, and 6323 of the Internal Revenue 7 /Q'? D Code, we are giving a notice that taxes (including interest and penalties) have been assessed against the following-named taxpayer. We have made CIrC?I ??? 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 -,- d I? 'A3.7 1jG 8 property belonging to this taxpayer for the amount of these taxes, and additional penalties, interest, and costs that may accrue. Name of Taxpayer ERIC J MANDERBACH Residence 14 RIVERVIEW DR ENOLA, PA 17025 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) (f) 1040 12/31/2006 XXX-XX-4312 12/08/2008 01/07/2019 15751.97 1040 12/31/2007 XXX-XX-4312 12/08/2008 01/07/2019 1499.49 o "r7 D i -r1 CO r--Jr C7 e. - N r'n C t Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total 1$ 17251.46 This notice was prepared and signed at the 01st day of February DETROIT, MI 2010 , on this, Signature -)? H \'Y?"?X Title REVENUE OFFICER 23-02-2519 for MS. Z. WOLLASTON (561) 616-2067 (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) Part 1 - Kept By Recording Office CAT. 668( (Rev. 2-20041 CAT. NO 60025X