HomeMy WebLinkAbout10-3070Form 668 MW
(Rev. February 2004)
11883
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 651031710
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 ALEXANDER D DONSON
Residence 10 KOST RD
CARLISLE, PA 17015-9783
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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,
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e
on the day following such date, operate as a certificate of release as to
in IRC 6325(a).
Tax Period Date of Last Day for Unpaid'talance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2004 XXX-XX-3703 07/04/2005 08/03,/2015
1040 12/31/2004 XXX-XX-3703 03/12/2007 04/11/2017 1998.80
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
1 J - JU' lu r" 1 -
For Optional Use by Recording Office
41q. oo Pb PLFF
C}?` 10145
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Total 1 $ 1998.80
This notice was prepared and signed at DETROIT, MI
the 30th day of April 2010
, on this,
Signature Title
REVENUE OFFICER 22-06-1418
for JAKOB PEDERSEN (717) 777-9621
(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 I - Kept By Recording Office CAT. NO 60025X