HomeMy WebLinkAbout10-5242Form 668 M(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650 684802510
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 fol ng-named taxpayer. We have made
a demand for payment of this liabili , 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 is that may accrue.
Name of Taxpayer WILLIAM SHI S
Residence 646 B WALNUT BOTTOM RD
SHIPPENSBURG,I PA 17257-9648
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
1040 112/31/2002
1040 12/31/2003
1040 12/31/2004
Place of Filing
For Optional Use by Recording Office
7N: For each assessment listed below, ??
to given in column (e), this notice shall, /9 .00
as a certificate of release as defined
&_Y' ? ell, 15?vg? IV
Number
XXX-,XX- 0058
XXXJXX-0058
XXX4XX-0058
Prothonotar
Cumberland ounty
Carlisle, P 17013
This notice was prepared and signed at!
the 03rd day of August
Total 1$ 64693.44
2010
Date of Last D for Unpaid Balance
Assessment Refilling of Assessment
d) (e) (f)
07/10/2006 08/09/2016 2854.90
03/05/2007 04/04/2017 3776.97
08/06/2007 09/05/2017 58061.57
DETROIT, MI
, on this,
Signature ?- y Title
ACS 11-00-0000
for DEBRA K. HURST (800) 829-7650
ENV It: 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 1 -Kept By Recording Office CAT. NO 60025X