HomeMy WebLinkAbout11-2056Form 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 752610911
As provided by section 6321, 6322, and 6323 of the Internal Revenue 1 v?C ?L
Code, we are giving a notice that taxes (including interest and penalties) , --
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have been assessed against the following-named taxpayer. We have made ?j cc;
a demand for payment of this liability, but it remains unpaid. Therefore, =
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there is a lien in favor of the United States on all property and rights to r
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property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue. '
Name of Taxpayer RONALD A BISHOP
Residence 4173 GROUSE CT
MECHANICSBURG, PA 17050-9116
NT RELEASE INFORMATION: For each assessment listed below,
e of the lien is refiled by the date given in column (e), this notice shall,
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following such date, operate as a certificate of release as defined G
7
IRC
5(a).
Kind of Tax Tax Period
Ending
Identifying Number Date o f
Assessment Last Dayy for
Refiling Unpaid Balance
of Assessment
(a) (b) (c) (d) (e) M
1040 12/31/2004 XXX-XX-8809 11/10/2008 12/10/2018 14249.63
1040 12/31/2005 XXX-XX-8809 05/29/2006 06/28/2016 3282.80
1040 12/31/2006 XXX-XX-8809 08/03/2009 09/02/2019 11542.93
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 29075.36
This notice was prepared and signed at
the 10th day of February
DETROIT, MI
2011
, on this,
Signature Title
ACS SBSE 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)
Part 1 - Kept By Recording Office Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X