HomeMy WebLinkAbout10-5809Form 668 (Y)(c)
(Rev. February 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 AREA #2
Lien Unit Phone: (800) 829-3903 694838610 /0_
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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 c -on
additional penalties, interest, and costs that may accrue. "e)
Name of Taxpayer STEVEN W & TIFFANY DEVINS MV-1
F_ ." :>g
Residence 6306 VALLEYBROOK DR
MECHANICSBURG, PA 17050-7304 G ,?r
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ELEASE INFORMATION: For each assessment listed below,
e lien is refilled by the date given in column (e), this notice shall,
ing such date, operate as a certificate of release as defined
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IRC6325(
a)
Tax Period Date of Last Day for Unpaid Balan
ce
Kind of Tax Ending Identifying Number Assessment R efilling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2007 XXX-XX-0370 05/26/2008 06/25/2018 9496.18
1040 12/31/2009 XXX-XX-0370 05/17/2010 06/16/2020 10196.82
i
Place of Filing
Prothonotary
Cumberland County Total i $ 196c, 3.00
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
the 31st day of August 2010
, on this,
Signature Title
r A ?, 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 Federal Tax I'en
Rev. Rul. 71-466, 1971 - 2 C.B. 409)
Part 1 - Kept By Recording Office CAT. bb$? (Rev. 2 10041
CAT. NO 60025X