HomeMy WebLinkAbout10-2912Form 668 M(c)
(Rev. February 2004)
2447
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Id - a91a M
Serial Number For Optional Use by Recording vttice
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
647706010
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As provided by section 6321, 6322, and 6323 of the Internal Revenue C?* 6 oo(o'T
Code, we are giving a notice that taxes (including interest and penalties) a y q Z
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. j
?-
Name of Taxpayer TAMMY L BOCK
Residence
3 WILTSHIRE WEST ST
'2
CARLISLE, PA 17015-7100
yr _ -
PORTANT RELEASE INFORMATION: For each assessment listed below,
ess notice of the lien is refiled by the date given in column (e), this notice shall,
F
the day following such date, operate as a certificate of release as defined
RC 6325(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2004 XXX-XX-2837 11/14/2005 12/14/2015 3288.22
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
DETROIT, MI
This notice was prepared and signed at
the 22nd day of April
, on this,
2010
Signature A Title
7?- Yh? REVENUE OFFICER 22-06-1418
for JAKOB PEDERSEN (717) 777-9621
Total 1$ :3288. 22
(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 668(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X