HomeMy WebLinkAbout10-2779Form 668 MW
(Rev. February 2004)
447
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien i
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 646496610
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 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 CRAIG W BACHIK
Residence 4 LEMOYNE DRIVE SUITE 201
LEMOYNE, PA 17043-1238
For Optional Use by Recording Office
.1Iq,Co PO Puor
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00,41151
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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 ReBng of Assessment
(a) (b) (c) (d) (e (f)
1040 12/31/2007 XXX-XX-0702 09/15/2008 10/15/2018 7108.89
1040 12/31/2008 XXX-XX-0702 11/16/2009 12/16/2019 22511.94
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 29620.83
This notice was prepared and signed at DETROIT, MI
the 20th day of April 2010
, on this,
Signature A 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 i-eaerai i ax nen
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 66SM(c) (Rev. 2-2004)
Part 1 - Kept By Recording Ofte CAT. NO 60025X