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HomeMy WebLinkAbout11-2058Form 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 752660811 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 - -n property belonging to this taxpayer for the amount of these taxes, and rT? Go rT1 n additional penalties, interest, and costs that may accrue. - ?- r Name of Taxpayer JIM MARTIN Residence 213 GULL CT .) MECHANICSBURG, PA 17050-2057 =1 IMPORTANT RELEASE INFORMATION: For each assessment listed below, unless notice of the lien is refilled by the date given in column (e), this notice shall, /? ?7•©? 6(, p wD l???? on the day following such date, operate as a certificate of release as defined / in IRC 6325(a). a5•s ' 3? Tax Period Date of Last Day for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refilling of Assessment (a) (b) (c) (d) (e) (f) 1040 12/31/2006 XXX-XX-2132 05/28/2007 06/27/2017 3592.96 1040 12/31/2007 XXX-XX-2132 05/26/2008 06/25/2018 2797.22 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total 1 $ 6390.18 This notice was prepared and signed at _ DETROIT, MI the 10th day of February 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) Form 666(Y)(c) (Rev. 2-2004) Part 1 -Kept By Recording Office CAT. NO 60025X