HomeMy WebLinkAbout10-37044
Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
NO. l6- smV F-rk
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
I
Lien Unit Phone: (800) 829-3903
660426210
As provided by section 6321, 6322, and 6323 of the Internal Revenue F: C=
-o C-.-
Code, we are giving a notice that taxes (including interest and penalties) ' "r
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, r i7'
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 ?> t
additional penalties, interest, and costs that may accrue. '
Name of Taxpayer ANTHONY L COLE Go
fw.ad "Od ',A'
Residence 711 ROBERT ST C0r*'/03 76
MECHANICSBURG, PA 17055-3448
?y3/97
RTANT RELEASE INFORMATION: For each assessment listed below,
notice of the lien is refiled by the date given in column (e), this notice shall,
F
day following such date, operate as a certificate of release as defined
6325(a).
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Day for
Refilling Unpaid Balance
of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2006 XXX-XX-9310 05/26/2008 06/25/2018 663.54
1040 12/31/2007 XXX-XX-9310 06/02/2008 07/02/2018 5033.79
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total J$ 5697.33
This notice was prepared and signed at
the 26th day of May
DETROIT, MI
2010
, on this,
Signature ?i yk;Z&& 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 I',
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) (R,
'Wgja
Part 1 - Kept By Recording Office CAT