HomeMy WebLinkAbout11-0420Form 668 MW
(Rev. February 2004)
83
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
A Serial Number For Optional Use by Recording Office
rea:
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 739532211
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As provided by section 6321, 6322, and 6323 of the Internal Revenue ?rl ' ??'
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, _ ?- -i
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. cnr
Name of Taxpayer DARRELL R RAMEY ?,,, MAT+
Residence 20 MOONGALE DR =°o
CARLISLE, PA 17013-2115
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,
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a). ogi 513 6
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refili ng of Assessment
a) (b) (c) (d (e) M
1040 12/31/2008
1 XXX-XX-1584 06/22/2009 07/22/2019 1087.17
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 1087.17
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 (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