HomeMy WebLinkAbout10-4885Form 668 M(c)
(Rev. February 2004)
1
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
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677958710 c •!L
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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 folbwing-named taxpayer. We have made
a demand for payment of this liabiiity, but it remains unpaid. Therefore,
there is a lien in favor of the United States on all properly and rights to
property belonging to this taxpayer for the amount of these taxes, and C::
additional penalties, interest, and costs that may accrue. ?x
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Name of Taxpayer ALEX W WOODALL tv
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Residence 221 WALNUT ST 1
CARLISLE, PA 17013-3869 -
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, Va
on the day following such date, operate as a certificate of release as defined
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IRC 6325(
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Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b (c) (d) (e) (f)
1040 12/31/2003 XXX-XX-3373 06/28/2010 07/28/2020 5425.75
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 5425.75
This notice was prepared and signed at
DETROIT, MI
the 14th day of July 2010
, on this,
Signature ?- A I/h? RtIEVENUE 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)
Part 1 - Kept By Recording Office Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X