HomeMy WebLinkAbout10-5931Form 668 (Y)(c)
(Rev. February 2004)
11883
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 697119110
7
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties) C
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, 1 r'iE''o .s
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. sr
Name of Taxpayer STEVEN L MARTIN z-
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Residence 133 BRINDLE RD
MECHANICSBURG, PA 17055-9780
IMPORTANT RELEASE INFORMATION: For each assessment listed below, 19.40 ??
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unless notice of the lien is refiled by the date given in column (e), this notice shall, r7
an the day following such date, operate as a certificate of release as defined
I 6325(a)
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Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1997 XXX-XX-2120 08/13/2001 09/12/2011 30492.53
1040 12/31/1999 XXX-XX-2120 05/22/2006 06/21/2016 34763.24
1040 12/31/2001 XXX-XX-2120 05/22/2006 06/21/2016 9178.99
1040 12/31/2002 XXX-XX-2120 05/22/2006 06/21/2016 4152.11
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 78586.87
This notice was prepared and signed at
DETROIT, MI
the 07th day of September 2010
, on this,
Signature ? f ),ham ACS tle
22-00-0008
for MICHAEL W. COX (800) 829-3903
(NOTE: Certificate of officer authorized by law to take acknowledgment is riot essential to the validity of Notice of Federal Tax lien
Form 668( !
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Part I - Kept By Recording Office CAT. N NO O 60025X
CAT
025X