HomeMy WebLinkAbout10-5729Form 668 (Y)(c)
,,%v. Fd3ruary 2004)
11883
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Serial Number
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650 693434010
- 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.
!? anle of Taxpayer MICHAEL J BRONCHIK
Residence 102 IAN DR
MT HOLLY SPRINGS, PA 17065-1100
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, DU
unless notice of the lien is refiled by the date given in column (e), this notice shall, N , ?/• ?zia
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a). ?t R o?zlTax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) M -
-1040 12/31/2002 XXX-XX-2858 06/18/2007 07/18/2017 1242.01
1040 12/31/2003 XXX-XX-2858 06/18/2007 07/18/2017 2050.64
1040 12/31/2004 XXX-XX-2858 11/24/2008 12/24/2018 2276.28
1040 12/31/2006 XXX-XX-2858 08/24/2009 09/23/2019 2434.42
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
'This notice was prepared and signed at
the
27th day of August
DETROIT, MI
2010
, on this,
tle
Signature A ACS
11-00-0000
for DEBRA K. HURST (800) 829-7650
For Optional Use by Recording Office
Total 1$8003.35
(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) Form 668(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X