HomeMy WebLinkAbout10-6948Form 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 711929310 1D 77 0 .- 6
As provided by section 6321, 6322, and 6323 of the Internal Revenue - ? _--i
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Code, we are giving a notice that taxes (including interest and penalties) n
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have been assessed against the following-named taxpayer. We have made ?
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a demand for payment of this liability, but it remains unpaid. Therefore, w r rv CD
there is a lien In favor of the United States on all property and rights to „.
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property belonging to this taxpayer for the amount of these taxes, and ^
additional penalties, interest, and costs that may accrue. = _=
Name of Taxpayer ALAN J FRITZ
Residence 1929 KENT DR
CAMP HILL, PA 17011-5932
IMPORTANT RELEASE INFORMATION: For each assessment listed below, T"
unless notice of the lien is refiled by the date given in column (e), this notice shall, '&i
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a). _
aS OG,DS
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 12/31/2004 XXX-XX-5374 04/20/2009 05/20/2019 15841.41
1040 12/31/2005 XXX-XX-5374 04/20/2009 05/20/2019 18614.17
1040 12/31/2006 XXX-XX-5374 03/23/2009 04/22/2019 5343.89
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 39799.47
This notice was prepared and signed at DETROIT, MI
the 19th day of October 2010
, on this,
Signature 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) Form 668(•Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X