HomeMy WebLinkAbout10-5996Form 668 M(c)
(Rev. February 2004)
1188
Department of the Treasury - Internal Revenue Service
Notice of Federal Tau Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 698417310
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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 ca
property belonging to this taxpayer for the amount of these taxes, and c `n
additional penalties, interest, and costs that may accrue. -03 0
Name of Taxpayer HAROLD S IRWIN III
2EM -ter"
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Residence 606 MOORELAND AVE ? C -_n
CARLISLE, PA. 17013-3730 =C €v c5rn
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refilled by the date given in column (e), this notice shall, 1Q.?
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2009
1 XXX-XX-8289 05/31/2010 06/30/2020 14213.47
Place of Filing
Prothonotary
Cumberland. County
Carlisle, PA 17013
Total 1 $ 14213.47
This notice was prepared and signed at
DETROIT, MI
the 10th day of September 2010
, on this,
Signature Title
REVENUE OFFICER 22-06-1408
for MIGNA RODRIGUEZ (717) 777-9622
4W I
(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)(e) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X