HomeMy WebLinkAbout10-5715Form 668 (Y)(c)
!Rev. February 2004)
83
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
/area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 691771410
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 following-named taxpayer. We have made
a demand for payment of this liability, 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.
Name of Taxpayer TIMOTHY
Residence 1008 PHEASANT DR N
CARLISLE, PA 17013-1257
For Optional U
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (e), this notice shall,
on the day following such date, operate as a certificate of release as defined 19 • DU pd
in IRC 6325(a). jotl aq
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Kind of Tax
(a) Tax Period
Ending
(b)
Identifying Number
(c) Date of
Assessment
(d) Last Day for
Refiling
(e) I Unpaid Balance
of Assessment
(f7
1040 12/31/1995 XXX-XX-0424 04/01/2002 05/01/2012 361.43
1040 12/31/1996 XXX-XX-0424 05/27/2002 06/26/2012 5616.09
1040 12/31/1997 XXX-XX-0424 10/21/2002 11/20/2012 9015.18
1040 12/31/2000 XXX-XX-0424 02/11/2002 03/12/2012 100.00
1040 12/31/2003 XXX-XX-0424 05/11/2009 06/10/2019 3711.45
1040 12/31/2004 XXX-XX-0424 05/11/2009 06/10/2019 15240.85
1040 12/31/2005 XXX-XX-0424 05/11/2009 06/10/2019 33579.99
3-040 12/31/2006 XXX-XX-0424 05/11/2009 06/10/2019 74385.06
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ ' 142010.05
'This notice was prepared and signed at
the 24th day of August
DETROIT, MI
2010
, on this,
Title
Signature A A
CS 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 No ice 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