HomeMy WebLinkAbout11-3272Form 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 767141011
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As provided by section 6321, 63
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Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made a ...{
a demand for payment of this liability, but it remains unpaid. Therefore, Z '
there is a lien in favor of the United States on all property and rights to Z -per
property belonging to this taxpayer for the amount of these taxes, and r- Vic )
additional penalties, interest, and costs that may accrue. e)?' ch ,o
Name of Taxpayer FRED C MILLER <Q ?' Q
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Residence 1510 THOMPSON LN
MECHANICSBURG, PA 17055-6732
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,
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on the day following such date, operate as a certificate of release as defined
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RC 6325(a). 'a
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment R efilling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2009 XXX-XX-2678 05/31/2010 06/30/2020 3352.86
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 3352.86
This notice was prepared and signed at
the 17th day of March
DETROIT, MI
2011
, on this,
Signature Title
l's 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 I - Kept By Recording Office Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X
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