HomeMy WebLinkAbout10-52391. 1
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 2004) Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AR EA #2
Lien Unit Phone: (800) 829-3903 684775910 ?TL
'
9
a3
1 o S
As provided by section 6321, 632 , and 6323 of the Internal Revenue
Code, we are giving a notice that to es (including Interest and penalties)
have been assessed against the foll ng-named taxpayer. We have made
a demand for payment of this liabil , but it remains unpaid. Therefore,
there is a lien in favor of the Unit States on all property and rights to
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and c sts that may accrue. ,
9
Name of Taxpayer GORDON BANZH FF
i
Residence 1200 ROSSMO E RD
MECHANICSBUR , PA 17055-4841 -- '
W .
IMPORTANT RELEASE INFORMA
unless notice of the lien is refiled by the ON: For each assessment listed below,
ate given in column (e), this notice shall,
on the day following such date, operat
on
IRC 6325(
) e as a certificate of release as defined ?,? /?
5k/
Air a yl
a
. o
Tax Period
y Date of Last Day for Unpaid Balance
Kind of Tax Ending Identif ing Number Assessment Refiling of Assessment
(a) (b) (c) d) (e) (f)
1040 12/31/2004 XXX XX-3568 10/02/2006 11/01/2016 6544.64
1040 12/31/2005 XX-3568
XXX'' 10/02/2006 11/01/2016 28069.52
1040 12/31/2006 I
XXX4XX-3568 08/17/2009 09/16/2019 18737.68
Place of Filing
Prothonotar y
Cumberland County Total $ 53351.84
Carlisle, P 17013
This notice was prepared and signed a t DETROIT, MI , on this,
the 03rd day of August j 2010
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)
Part 1 - Kept By Recording Office CAT. 668( (Rev. 2-2004)
CAT. NO 60025X
X