HomeMy WebLinkAbout11-0414Form 668 (Y)(c)
IRev. February 2004)
11883
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 739494211
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.
ame of Taxpayer VICTOR E &
PAI
For Oational Use by Recording Office
Residence 52 SBEDFORD ST
CARLISLE, PA 17013-3302
` Ei :Do
IMPORTANT RELEASE INFORMATION: For each assessment listed below, c?
unless notice of the lien is refiled by the date given in column (e), this notice shall, Pa(, ????/d
on the day following such date, operate as a certificate of release as defined 1q'00
in IRC 6325(a). a 6 ,S"7
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c (d) (e)
1040 12/31/2008 XXX-XX-0829 12/21/2009 01/20/2020 3559.97
1040 12/31/2009 XXX-XX-0829 05/31/2010 06/30/2020 2761.96
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
the 06th day of January
Total 1 $ 6321.93
DETROIT, MI
2011
, on this,
Signature Title
ACS 22-00-0001
for FRED BANKS (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) Form 668(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X