HomeMy WebLinkAbout11-2060Department of the Treasury - Internal Revenue Service
Form 668 (Y)cc>
(Rev. February 2004) 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 753247211
A
i
s 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
'n
,
additional penalties, interest, and costs that may accrue.
Name of Taxpayer BRYAN E CAMPBELL co
rC:)
Residence 216 4TH ST N 71
'
NEW CUMBERLND, PA 17070-2117 .?
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, /1?0 J
on the day following such date, operate as a certificate of release as defined f / A
in IRC 6325(a). lb a 55'/-?K
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2005 XXX-XX-0489 11/02/2009 12/02/2019 16939.21
1040 12/31/2006 XXX-XX-0489 11/02/2009 12/02/2019 12619.69
1040 12/31/2007 XXX-XX-0489 04/12/2010 05/12/2020 12091.76
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 41650.66
This notice was prepared and signed at
the 11th day of
DETROIT, MI
February 2011
, on this,
Signature Title
zC` 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. RuI. 71-466, 1971 - 2 C.B. 409)
Part 1 - Kept By Recording Office Form 666(Y)(c) (Rev. 2-2004)
CAT. NO 60025X
Ke/