HomeMy WebLinkAbout11-4721Form 668 (Y)(c)
(Rev. February 2004)
11883
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650 787600111
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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 CM '°1
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 °rn° '-.
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue. Q
Name of Taxpayer JONATHAN D & PATRICIA A ROGERS SR ?,. -n
C)
Residence 520 OAKVILLE RD w
SHIPPENSBURG, PA 17257-9796 F,
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,
on the day following such date, operate as a certificate of release as defined I
in IRC 6325(a). ?Il? oZ i1 ?O
7
Tax Period Date of Last D for Unpaid lance
Kind of Tax Ending Identifying Number Assessment Re filling Of Ass ent
(a) (b) (c) (d) (e)
1040 12/31/2001 XXX-XX-6073 02/14/2005 03/16/2015 8189.34
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 8189.34
This notice was prepared and signed at DETROIT, MI
the 20th day of May 2011
, on this,
Signature Title
ACS W&I 11-00-0000
for DEBRA K. HURST (800) 829-7650
(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 CAT. 668( (Rev. 2-20041
CAT. NO 60025X