HomeMy WebLinkAbout11-4944Form 668 (Y)(c)
(Rev. February 2004)
11883
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
A Serial Number For Optional Use by Recording Office
rea:
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903
791376411
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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
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 - w
additional penalties, interest, and costs that may accrue. "o c _'
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Name of Taxpayer MICHAEL K MILLER ?
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Residence 7203 OLDE SCOTLAND RD TG2? 3 Z-
SHIPPENSBURG, PA 1725777932 F -:CD tv o?
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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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ease as
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on the day following such date, operate as a certificate of re /
in IRC 6325(a). ?
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) M
1040 12/31/2003 XXX-XX-7539 08/07/2006 09/06/2016 5709.82
1040 12/31/2004 XXX-XX-7539 11/24/2008 12/24/2018 4693.16
1040 12/31/2006 XXX-XX-7539 11/09/2009 12/09/2019 7692.76
1040 12/31/2007 XXX-XX-7539 11/08/2010 12/08/2020 7858.11
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 25953.85
This notice was prepared and signed at
the 0 7 th day of June
DETROIT, MI
2011
, on this,
Signature Title
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. Rul. 71-466, 1971 - 2 C.B. 409)
Part 1 - Kept By Recording Office CAT. 668( Nev. 2 20041
CAT. NO 60025X