HomeMy WebLinkAbout10-5240Form 668 (Y)(c)
IRev. Februarv 2004)
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 AR EA #2
Lien Unit Phone: (800) 829-3903 684779810
/0
As provided by section 6321, 6322 and 6323 of the Internal Revenue
Code, we are giving a notice that to s (including Interest and penalties)
have been assessed against the fol ng-named taxpayer. We have made
a demand for payment of this liabili , but it remains unpaid. Therefore, CD
there is a lien in favor of the United States on all property and rights to r
property belonging to this taxpayer or the amount of these taxes, and t
additional penalties, interest, and co
is that may accrue. i
?-
Name of Taxpayer MICHAEL E STR HM p
X10
Residence 14 HOPE DR
BOILING SPRGS?, PA 17007-9756 r
NT RELEASE INFO RMA ION: For each assessment listed below,
e of the lien is refiled by the ate given in column (e), this notice shall,
followin
such date
opera a as a certificat
f r
le
d
fi
d
F
g
,
e o
e
ase as
e
ne
IRC
5(a). ???
oZ??S?G
Kind of Tax Tax Period
Ending
Identhf
ng Number Date of
Assessment L ast Day for
Refilling Unpaid Balance
of Assessment
(a) (b) ,
(c) (d) ( e)
1040 12/31/2006 XXX-+XX-4305 08/17/2009 09/16/2019 10000.34
Place of Filing
Cumberland'County
Carlisle, PA 17013
DETROIT, MI
This notice was prepared and signed a
the 03rd day of August
2010
Total J$ 10000.34
, on this,
Signature ?- A 'Y `'?'? ?"`i'` Title
ACS 22-00-0008
for MICHAEL W. COX (800) 829-3903
(NOTE: Certificate of officer authorized
Rev. Rul. 71-466, 1971 - 2 C.B. 409)
law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Part I -Kept By Recording Office Form 668(Y)(c) IRev. 2-2004)
CAT. NO 60025X
'Xfo