HomeMy WebLinkAbout10-1661Form 668 M(c)
(Rev. February 2004)
244
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 630411210
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 agah>tst the following-named taxpayer. We have made
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
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
ame of Taxpayer LESLIE & CINDY M
Residence 101 ENOLA DR
ENOLA, PA 17025-2707
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).
For Optional Use by Recording Office
lD -ALL( ?`7?,
if 9012--:>
au $(,Lo
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiting of Assessment
(a) (b (c) (d) (e) f)
1040 12/31/2007 XXX-XX-9616 11/23/2009 12/23/2019 3791.40
0
,??
'f t CU q 1l
C T",
Ito '---
i OM
W
tT ^:
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 3791.40
This notice was prepared and signed at
the 02nd day of March
DETROIT, MI
2010
, on this,
Signature A ,eQ REVENUE REP 22-08-2218
for PATRICK DUMM (610) 898-2925
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal i ax 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