HomeMy WebLinkAbout10-3702Form 668 (Y)(c)
(Rev. February 2004)
48
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien N& p , 3 70 .?- FTI-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 661681910 n o
As provided by section 6321, 6322, and 6323 of the Internal Revenue ?n
Code, we are
giving anotice that taxes (including interest and penalties) = ?--
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have been assessed against the following-named taxpayer. We have made y
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a demand for payment of this liability, but it remains unpaid. Therefore, cnEr ??
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 _, ,
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additional penalties, interest, and costs that may accrue. ._
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Name of Taxpayer MARK K MARTIN r
MARTINS BELLA CUSTOMS CO
?/1 do ,A 64
Residence 55 ARMY HERITAGE DR Gk-lqjD3 76
CARLISLE, PA 17013-8858
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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 Refilling of Assessment
(a) (b) (c) (d) (e) (f)
941 12/31/2008 25-1827761 03/09/2009 04/08/2019 309.60
941 03/31/2009 25-1827761 07/06/2009 08/05/2019 2054.65
941 06/30/2009 25-1827761 09/07/2009 10/07/2019 7285.00
941 09/30/2009 25-1827761 12/21/2009 01/20/2020 6563.91
941 12/31/2009 25-1827761 03/29/2010 04/28/2020 3837.92
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total J$ 20051.08
This notice was prepared and signed at
the 28th day of May
DETROIT, MI
2010
, on this,
Signature /K? A -Y?? REVtle
ENUE OFFICER 22-06-1407
for SEAN DUNLEAVY (717) 777-9626
(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( (Rev. )
Part 1 - Kept By Recording Office CAT. NO 60025X
CAT
025X