HomeMy WebLinkAbout10-4934Form 668 (Y)(c)
(Rev. February 2004)
11883
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 679817610
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evenue
As provided by section 6321, 6322, and 6323 of the Interna
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made
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 penakies, interest, and costs that may accrue. l
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Name of Taxpayer JOSEPH M ISHINO `Z ,-
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Residence 4084 DARIUS DR
ENOLA, PA 17025-1475
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,
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on the day following such date, operate as a certificate of release as defined
in IRC 6325(a). t aCrs opD7
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Re filling of Assessment
a b) c (d ( e) M
1040 12/31/2005 XXX-XX-2073 04/26/2010 05/26/2020 11783.77
1040 12/31/2006 XXX-XX-2073 04/26/2010 05/26/2020 5870.63
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 17654.40
This notice was prepared and signed at DETROIT, MI
the 20th day of July 2010
, on this,
Signature Title
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 I - Kept By Recording Office CAT. NO 60025X