HomeMy WebLinkAbout10-2027Form 668 (Y)(c)
(Rev. February 2004)
2
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien i„ _ -1 &A h -17?rj
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 634030110
*19.0o PA PLFF
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties) * 13x58
have been assessed against the following-named taxpayer. We have made ?* a 3gwo
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.
Name of Taxpayer DAVID J TRITT '
:70 n't
r\3
Residence 35 WINDING HILL DR S
MECHANICSBURG, PA 17055 n
NT RELEASE INFORMATION: For each assessment listed below, 7 CD
e of the lien is refiled by the date given in column (e), this notice shall,
E (XI
following such date, operate as a certificate of release as defined
IRC
5(a).
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last D for
Refilling Unpaid Balance
of Assessment
(a) (b) (c) (d) e) (f)
1040 12/31/2004 XXX-XX-9021 03/02/2009 04/0 1/2019 12249.09
1040 12/31/2005 XXX-XX-9021 03/02/2009 04/01/2019 .22713.35
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 34962.44
This notice was prepared and signed at
the
12th day of March
DETROIT, MI
2010
, on this,
Signature ?- A )'ham Title
ACS 22-00-0008
for MICHAEL W. COX (800) 829-3903
.•- ..;tlI-OLU VI mum autnonzea oy iaw 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 I - Kept By Recording Office Form 668(Y)(c) (Rev. 2-2004)
tot', NO @C?H7?+?t