HomeMy WebLinkAbout10-2431Form 668 (Y)(c)
(Rev. February 2004)
2447
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien io - aysl ?"R
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
639638310
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As provided by section 6321, 6322, and 6323 of the Internal Revenue au-4?iq
Code, we are giving a notice that taxes (including interest and penalties) ?,'f aalD 383
have been assessed against 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. ;
Name of Taxpayer TIMOTHY CLARK
Residence 9 SAND PINE COURT ,
MECHANICSBURG, PA 17050-0000 -
NT RELEASE INFORMATION: For each assessment listed below, ? C-'`
e of the lien is refiled by the date given in column (e), this notice shall,
F
following such date, operate as a certificate of release as defined
IRC
5(a).
Tax Period Date of Last Day for Unp aid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e
1040 12/31/2004 XXX-XX-5346 02/22/2010 03/23/2020 362621.33
1040 12/31/2005 XXX-XX-5346 05/18/2009 06/17/2019 224191.28
1040 12/31/2006 XXX-XX-5346 02/09/2009 03/11/2019 280466.07
1040 12/31/2007 XXX-XX-5346 02/09/2009 03/11/2019 255765.56
1040 12/31/2008 XXX-XX-5346 07/20/2009 08/19/2019 182747.26
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 1305791.50
This notice was prepared and signed at
DETROIT, MI
the 31st day of March 2010
Signature
on this,
for DENNIS P ZMUDZIN
Title
REVENUE OFFICER
(717) 777-9624
22-06-1441-
(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 66fiM(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X