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HomeMy WebLinkAbout10-5231Department of the Treasury - Internal Revenue Service Form 668 (2004) (Rev. February 2004) Notice of Federal Tax Lien Area: Serial Number For Optional Use by Recording Office SMALL BUSINESS/SELF EMPLOYED AREA #2 Lien Unit Phone: (800) 913-6050 682927010 /'0 FTL 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 folloyl ing-named taxpayer. We have made a demand for payment of this liabilh?r, 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 cots that may accrue. -0 Name of Taxpayer MARK K MARTIN' MARTINS BELLA' CUSTOMS -' O Residence 55 ARMY HERITAGE DR CARLISLE, PA 17013-8858 r-? IMPORTANT RELEASE INFORMATION: For each assessment listed below, c U{ unless notice of the lien is refiled by the date given in column (e), this notice shall, 19©D ,,,,/ ?"` on the day following such date, operate as a certificate of release as defined in IRC 6325(a). a 1110 53J Tax Period Date of Last Day for Unpaid Balance Kind of Tax Ending Identif??ing Number Assessment Refilling of Assessment (a) b c) d (e (f) 941 03/31/2010 25-,1827761 06/28/2010 07/28/2020 4103.22 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 This notice was prepared and signed at the 28th day of July Total 1 $ 4103.22 DETROIT, MI 2010 , on this, Signature 7? A Title REVENUE OFFICER 22-06-1407 for SEAN DUNLEAVY (717) 777-9626 (N(M: 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 t- Kept By Recording Office CAT. NO 60025X