HomeMy WebLinkAbout10-4765Form 668 (Y)(c)
(Rev. February 2004)
883
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 675720910
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties) C
have been assessed against the foNowing-named taxpayer. We have made r c- _-4
a demand for payment of this liability, but it remains unpaid. Therefore, r
there is a lien in favor of the United States on all property and rights to rv
property belonging to this taxpayer for the amount of these taxes, and o
additional penalties, interest, and costs that may accrue.
Name of Taxpayer SENAHID JUSIC -
Residence 707 STANWICK CIRCLE APT 4
CARLISLE, PA 17013
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
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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). O 2-VS--/j
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
a) (b) (c) (d) (e) M
1040 12/31/2007 XXX-XX-5162 05/26/2008 06/25/2018
1040 12/31/2007 XXX-XX-5162 05/31/2010 06/30/2020 33387.43
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 33387.43
This notice was prepared and signed at
the 08th day of July
DETROIT, MI
2010
, on this,
Signature / Title
- A ? ACS 22-00-0008
for MICHAEL W. COX (800) 829-3903
'L!+
(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)
Part 1 - Kept By Recording Office CAT. 668(1 (Rev. 2 20041
CAT. NO 60025X