HomeMy WebLinkAbout10-2778Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien Ib -afiha P"L
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 646495410 ' wcv pp pLr-F
As provided by section 6321, 6322, and 6323 of the Internal Revenue W (006p
Code, we are giving a notice that taxes (including interest and penalties) P.0 0141158
have been assessed against the following-named taxpayer. We have nude
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 c-- -n
additional penalties, interest, and costs that may accrue.
T
Name of Taxpayer LOUIS B BAILEY '
rnr
Residence 715 CUMBERLAND POINTE CIR ?tom
MECHANICSBURG, PA 17055-5493
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(01).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilli ng of Assessment
(a) b) c d) a f)
1040 12/31/2006 XXX-XX-7746 05/18/2009 06/17/2019 9505.99
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 9505.99
This notice was prepared and signed at DETROIT, EMI
, on this,
the 20th day of April 2010
Signature A - 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 ?-ecierai i ax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 66SM(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025x