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HomeMy WebLinkAbout11-2063Form 668 M(c) (Rev. February 2004) 883 Department of the Treasury - Internal Revenue Service Notice of Federal Tax Lien Area: Serial Number SMALL BUSINESS/SELF EMPLOYED AREA #2 Lien Unit Phone: (800) 913-6050 753276411 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 property belonging to this taxpayer for the amount of these taxes, and additional penalties, interest, and costs that may accrue. ame of Taxpayer JOHN L Residence 14 S FRONT STREET LEMOYNE, PA 17043 For Ootional Use by Recording urnce if- .2063 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, 19 ©? on the day following such date, operate as a certificate of release as defined n in IRC 6325(a). -7., c rr1 ? ? r= Eta -C --1 C? rya °; .S ?S?13 7 Kind of Tax (a) Tax Period Ending (b) Identifying Number (c) Date of Assessment (d) Last Day for Refilling (e) - Unpaid Balance of Assessment M 6672 06/30/2004 XXX-XX-9528 03/02/2009 04/01/2019 2794.-08 6672 09/30/2004 XXX-XX-9528 03/09/2009 04/08/2019 2884.46 6672 12/31/2004 XXX-XX-9528 03/02/2009 04/01/2019 2190.16 6672 03/31/2005 XXX-XX-9528 03/02/2009 04/01/2019 3097.59 6672 06/30/2005 XXX-XX-9528 03/02/2009 04/01/2019 5929.10 6672 09/30/2005 XXX-XX-9528 03/02/2009 04/01/2019 5104.03 6672 12/31/2005 XXX-XX-9528 03/02/2009 04/01/2019 4674.09 6672 06/30/2007 XXX-XX-9528 03/02/2009 04/01/2019 6173.12 6672 09/30/2007 XXX-XX-9528 03/09/2009 04/08/2019 1958.22 6672 12/31/2007 XXX-XX-9528 03/02/2009 04/01/2019 2913.90 6672 03/31/2008 1 XXX-XX-9528 03/02/2009 04/01/2019 4776.00 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total 1 $ 42494.75 This notice was prepared and signed at the 11th day of February DETROIT, MI 2011 , on this, Signature REVENUE OFFICER 22-06-1828 for LAWRENCE R COFFIN- (717) 207-4332 (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