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HomeMy WebLinkAbout11-2064Form 668 MW (Rev. February 2004) 3 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) 913-6050 753276511 As r vid d b ti 6321 6322 d 63 2 N p o e y sec on , , an 23 of the Internal Revenue o Code, we are giving a notice that taxes (including interest and penalties) '" ._' -+ - have been assessed against the following-named taxpayer. We have made I-ncp -In rrn ? 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 c property belonging to this taxpayer for the amount of these taxes, and la -: - additional penalties, interest, and costs that may accrue. = -v f -r1 Name of Taxpayer LAWRENCE J BOTTARO -= rv i Residence 312 WALNUT STREET LEMOYNE, PA 17043 IMPO NT RELEASE INFORMATION: For each assessment listed below, unless e the lien is refil by the date given in column (e), this notice shall, : n day on the foll llowing such dato te, operate as a certificate of release as defined © ?? L tact in IRC 5(a). .2 SS?3 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) 6672 06/30/2004 XXX-XX-9529 03/02/2009 04/01/2019 2794.08 6672 09/30/2004 XXX-XX-9529 03/09/2009 04/08/2019 2884.46 6672 12/31/2004 XXX-XX-9529 03/02/2009 04/01/2019 2190.16 6672 03/31/2005 XXX-XX-9529 03/02/2009 04/01/2019 3097.59 6672 06/30/2005 XXX-XX-9529 03/09/2009 04/08/2019 5929.10 6672 09/30/2005 XXX-XX-9529 03/02/2009 04/01/2019 5104.03 6672 12/31/2005 XXX-XX-9529 03/09/2009 04/08/2019 4674.09 6672 06/30/2007 XXX-XX-9529 03/09/2009 04/08/2019 6173.12 6672 09/30/2007 XXX-XX-9529 03/02/2009 04/01/2019 1958.22 6672 12/31/2007 XXX-XX-9529 03/02/2009 04/01/2019 2913.90 6672 03/31/2008 XXX-XX-9529 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 DETROIT, MI February 2011 , on this, Signature Title REVENUE OFFICER 22-06-1828 for LAWRENCE R COFFI (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) Part 1 - Kept By Recording Office Form 668(Y)(c) (Rev. 2-2004) CAT. NO 60025X use/