HomeMy WebLinkAbout10-2911Form 668 (Y)(c)
(Rev. February 2004)
4
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien 11? _ ?a I i
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903
647687410
' 1Q•OD PO PVV
As provided by section 6321, 6322, and 6323 of the Internal Revenue r?? ow?
Code, we are giving a notice that taxes (including interest and penakies) li?*' d? ?ya?/
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 n --,
property belonging to this taxpayer for the amount of these taxes, and `-'
additional penalties, interest, and costs that may accrue. ''
Name of Taxpayer WILLIAM & HEATHER L DANIELS
0
Residence 49 BELLA VISTA DR
MECHANICSBURG, PA 17050-1880 -' •• '
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 Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refili ng of Assessment
(a) (b) (c) (d) (e) (f
1040 12/31/2008
1 XXX-XX-3294 06/29/2009 07/29/2019 18367.46
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 18367.46
This notice was prepared and signed at DETROIT, MI
the 22nd day of April 2010
, on this,
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 Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Part 1 - Kept By Recording Office CAT. 668( (Rev. 2 20041
CAT. NO 60025X