HomeMy WebLinkAbout10-6956Form 668 (Y)(c)
(Rev. February 2004)
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 713117810
As provided by section 6321, 6322, and 6323 of the Internal Revenue 10 -1?9s'?
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 7M, i-11
,
additianal penalties, interest, and costs that may accrue. .; n
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Name of Taxpayer MICHAEL C MAROON SR Y
Residence 1508 LOUISA LN rv -'l
MECHANICSBURG, PA 17050-7281 c?
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NT RELEASE INFORMATION: For each assessment listed below, v
e of the lien is refiled by the date given in column (e), this notice shall,
following such date
operate as a certificat
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Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment La st Day for
Refiling Unpaid Balance -
of Assessment
(a) (b) (c) (d) (e) (t7
1040 12/31/2009 XXX-XX-7420 05/17/2010 06/16/2020 22769.85
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 22769.85
This notice was prepared and signed at
the 26th day of October
DETROIT, MI
2010
, on this,
Signature Title
ACS 22-00-0008
for MICHAEL W. COX -4? (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. 2-20041
CAT. NO 60025X
Department of the Treasury - Internal Revenue Service
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