HomeMy WebLinkAbout10-1555Form 668 (Y)(c)
(Rev. February 2004)
2447
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 Lie
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As provided by section 6321, 6322, and 6323 of the Internal Revenue
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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
a demand for payment of this liability, but it remains unpaid. Therefore, C j 3?J g 3
there is a lien in favor of the United States on all property and rights to
property belonging to this taxpayer for the amount of these taxes, and #?
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additional penalties, interest, and costs that may accrue. o
Name of Taxpayer TRACY BOGANS
Residence 550 BRENTWATER RD
CAMP HILL, PA 17011
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) (f)
1040 12/31/2004 XXX-XX-0946 05/22/2006 06/21/2016 66157.88
1040 12/31/2005 XXX-XX-0946 11/06/2006 12/ 06/2016 6896.26
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 73054.14
This notice was prepared and signed at
the 24th day of February
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DETROIT, MI
2010
, on this,
Signature Title
REVENUE OFFICER 22-06-1441
for DENNIS P ZMUDZIN (717) 777-9624
(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