HomeMy WebLinkAbout11-0419Form 668 (Y)(c)
(Rev. February 2004)
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 739525411
i ` f
As prov
ded 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. '-rr, Sim. rn-
Name of Taxpayer DAVID W LYONS ' :)
a
Residence PO BOX 1002
CAMP HILL, PA 17001-1002 ... ?,°?
TANT RELEASE INFORMATION: For each assessment listed below
,
otice of the lien is refiled by the date given in column (e), this notice shall,
E
day following such date, operate as a certificate of release as defined
o ?9-BQ
inl
6325(a). a s3 .?
Tax P eriod Date of Last Day for Unpaid Balance
Kind of Tax Ending identifying Number Assessment Refiling of Assessment
(a) (b) (c) d) (e) (f)
1040 12/31/2006 XXX-XX-6635 05/03/2010 06/02/2020 3717.40
1040 12/31/2007 XXX-XX-6635 04/19/2010 05/19/2020 3198.87
1040 12/31/2008 XXX-XX-6635 04/19/2010 05/19/2020 3846.02
1040 12/31/2009 XXX-XX-6635 04/19/2010 05/19/2020 1658.97
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 12421.26
This notice was prepared and signed at
the 06th day of January
DETROIT, MI
2011
, on this,
Signature Title
ACS 22-00-0001
for FRED BANKS =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) Form 668(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X