HomeMy WebLinkAbout10-524111
Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Options
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 684783410
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 foil ing-named taxpayer. We have made
a demand for payment of this liabNi , 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 costs that may accrue.
axpayer G
Residence 1 CARRIAGE
NEW CUMBER
IMPORTANT RELEASE INFORMA
unless notice of the lien is refiled by the
on the day following such date, opera
in IRC 6325(a).
Tax Period
Kind of Tax Ending Identil
PA 17070-2302
)N: For each assessment listed below,
to given in column (e), this notice shall,
as a certificate of release as defined
Date of
Number Assessment
11/19/2007
1040 112/31/200,11 XXX-XX-8353 105/26/2008
1040 12/31/2007 XXX-XX-8353 Place of Filing
Use by Recording Office
/D -541/ r-""-
?o
a- u
0
Last Day for
Refilling
(e)
12/19/2017
06/25/2018
Unpaid Balance
of Assessment
29092.48
6323.45
Prothonotary
CumberlandlCounty
Carlisle, OA 17013
Total 1 $ 35415.93
This notice was prepared and signed at
the 03rd day of August
DETROIT, MI
2010
, on this,
tle
Signature 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 i-eaerai i ax uen
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X