HomeMy WebLinkAbout10-1514Form 668 (Y)(c)
(Rev. February 2004)
44
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 627204210
G
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including Interest and penalties) ?Q 00
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, n .,, d
there is a Ilea 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. e23? ?0 ,
Name of Taxpayer RANDAL S MAUGANS
Residence 28 BRENTWOOD RD
CAMP HILL, PA 17011-2505
LE INFORMATION: For each assessment listed below,
refiled by the date given in column (e), this notice shall,
=
h date, operat
e as a certificate of release as defined
IRC6325(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of T
ax
Ending
Identifying Number
Assessment
Refil
ing
of Assessment
(a) (b) (c d) (e (f)
1040 12/31/2005 XXX-XX-5568 06/22/2009 07/22/2019 4020.06
1040 12/31/2006 XXX-XX-5568 06/22/2009 07/22 /2019 4095.75
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 8115.81
This notice was prepared and signed at
the 19th day of February
DETROIT, MI
2010
on this,
Signature ( A -Y?? 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)
Part 1 - Kept By Recording Office CAT. 668( (Rev. 2-2004)
CAT. NO 60025X