HomeMy WebLinkAbout11-0175Form 668 (Y)(c)
IRev. February 2004)
52
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) 913-6050 734748310 ~~ , ~~~ ~~~
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 °w~ ~ "~'~
a demand for payment of this liability, but it remains unpaid. Therefore, -- `TMt
there is a lien in favor of the lJnited States on all property and rights to ~
property belonging to this taxpayer for the amount of these taxes, and ~ :cam
additional penalties, interest, and costs that may accrue. ~
,,,~ ° ~ ~?
-- ,~~:.
Name of Taxpayer ANGEL G NEGRON P
~°r=% -v ~'.-~
Residence 42 POMFRET ST .~~~'j `~ Y?
CARLISLE, PA 17013 ~'
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (e), this notice shall,
d • .e~C~
J9•DO
on the day following such date, operate as a certificate of release as defined P®
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2005 XXX-XX-1658 04/05/2010 05/05/2020 6822.38
1040 12/31/2006 XXX-XX-1658 02/26/2007 03/28/2017
1040 12/31/2006 XXX-XX-1658 10/27/2008 11/26/2018 5964.48
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 12 7 8 6. 8 6
This notice was prepared and signed at
the 21st day of
DETROIT, MI
December 2010
on this,
Signature Title
~zC` REVENUE OFFICER 22-06-1413
for LINDSEY O BOWLIN (717) 777-9623
(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 1 -Kept By Recording Office Form 668(Y)(c) (Rev. 2-2004!
CAT. NO 60025X