HomeMy WebLinkAbout10-7699Form 668 (Y)(c)
(Rev. Fel3ruary 2004)
883
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
A Serial Number For Optional Use by Recording Office
rea:
SMAI.,L BUSINESS/SELF EMPLOYED AREA #1
Lien Unit Phone: {800y 913-6050
728739310
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As provided by section b321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penaltiex)
have been assessed against the fallowing-named taxpayer. We have made
a demand for payment of this iiabitity, but it remains unpaid. Therefore, ,~ r„~ o
there is a lien in favor of the l[nited States on alt property and rights to ~ °
property belonging to this taxpayer for the amount of these taxes, and ~ ~, ° s-,i
additions! penalties, interest, and costs that may accrue. .~„ ~ s r-t r
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Name of Taxpayer TIMOTHY J BOUDER ~'
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Residence 123 W PINE ST ~-
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MT HOLLY SPRING, PA 17065 "~'
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
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unless notice of the lien is refiled by the date given in column (e), this notice shall, l4~DDPQ• ,~
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on the day following such date, operate as a certificate of release as defined Q~
in IRC 6325(a). ~° "" a.S~ ~3 2
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) d) (e) {~
1040 12/31/2006 XXX-XX-2668 02/09/2009 03/11/2019 9909.08
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 9909.08
This notice was prepared and signed at
DETROIT, MI
the 06th day of December 2010
an this,
Signature ~ ~- Title
CASE PROC MGR 21-00-0018
for DOROTHY OWENS (866) 611-6191
(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. 4091 Form 568(Y)(c) tRev. 2-2004)
Part t -Kept ny Rtcording Office CAT. NO ti0025x