HomeMy WebLinkAbout10-3705Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien 0a, 10-376,5- F-7l-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 660432810
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 v ct? ---t
rT c-
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 SCOTT D PEOPLES
Residence 216 N ENOLA DR r/y o d/?f
ENOLA, PA 17025-2247
dCO /0 176
NT RELEASE INFORMATION: For each assessment listed below,
e of the lien is refiled by the date given in column (e), this notice shall,
F
following such date, operate as a certificate of release as defined
IRC
5(a).
Tax Period Date of Last Day for U npaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2007 XXX-XX-1688 05/26/2008 06/25/2018 4123.80
1040 12/31/2008 XXX-XX-1688 11/16/2009 12/16/2019 3251.42
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 7375.22
This notice was prepared and signed at DETROIT, MI
, on this,
the 26th day of May 2010
Signature Title
A 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) Form 668(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X