Loading...
HomeMy WebLinkAbout10-6213Form 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 702162310 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. CD Name of Taxpayer ROBERT F ORAVETZ - om, © -"I -rt t t t/? rn -- Residence PO BOX 331 r , CO C:) SHIPPENSBURG, PA 17257-0331 17- 0 o -- IQ ? TANT RELEASE INFORMATION: For each assessment listed below, P - _ otice of the lien is refiled by the date given in column (e), this notice shall, E Da a?f?9 -- rv > day following such date, operate as a certificate of release as defined o - --- 'u' inI RC 325(a). 1q.06 P,4. Tax P eriod Date of Last Day for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Reflling of Assessment (a) (b) (c) (d) (e) (f) 1040 12/31/2004 XXX-XX-5549 11/10/2008 12/10/2018 22347.11 1040 12/31/2005 XXX-XX-5549 11/10/2008 12/10/2018 23524.70 1040 12/31/2006 XXX-XX-5549 04/27/2009 05/27/2019 19698.83 1040 12/31/2007 XXX-XX-5549 04/12/2010 05/12/2020 97758.65 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total 1$ 163329.29 This notice was prepared and signed at DETROIT, MI the 21st day of September 2010 , on this, Signature ' Y ,,&W? Title ACS 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 Rev. Rul. 71-466, 1971 - 2 C.B. 409) Part t - Kept By Recording Office CAT. 668{ AT (Rev. 2-2004) C. NO 60025X