HomeMy WebLinkAbout10-6089Form 668 (Y)(c)
lRev. February 20041
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 699489010 ffi
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 u .n
additional penalties, interest, and costs that may accrue. M -
Name of Taxpayer PARKER E OHRUM r-r%a
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Residence 6615 CARLISLE PIKE APT 12 p
MECHANICSBURG, PA 17050-1708 =G Q Y'
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NT RELEASE INFORMATION: For each assessment listed below, 6 !?`
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unless e of the lien is refiled by the date given in column (e), this notice shall,
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on the following su ch date, operate as a certificate of release as defined
in IRC 5(
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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 12/31/2001 XXX-XX-3975 09/04/2006 10/04/2016 28396.07
1040 12/31/2002 XXX-XX-3975 09/04/2006 10/04/2016 32422.86
1040 12/31/2003 XXX-XX-3975 02/26/2007 03/28/2017 19180.86
1040 12/31/2004 XXX-XX-3975 11/12/2007 12/12/2017 11650.11
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 91649.90
This notice was prepared and signed at
DETROIT, MI
the 14th day of September 2010
, on this,
Signature ?- f ` c ATitle
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 Notice of Federal Tax lien
Rev, Rul. 71-466,1971 - 2 C.B. 409)
Part i - Kept By Recording Office CAT. 668{ (Rev. 2-2004)
CAT. NO 60025X