HomeMy WebLinkAbout11-5091Form 668 (Y)(c)
(Rev. February 2004)
1188
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 793113411
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 °l
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 rnca
_r
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer DANIEL L HATTER
FIRE SAFETY & SECURITY CONSULTING
co
Residence 3101 COLUMBIA AVE
CAMP HILL, PA 17011-5223
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 da
foll
i
h d
g
P
y
ow
ng suc
ate, operate as a certificate of release as defined
in IRC 6325(a).
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Dayy for
Refiling Unpaid Balance
of Assessment
(a) (b) (c) (d) (e) (f)
6721 12/31/2005 25-1656603 09/15/2008 10/15/2018 868.65
6721 12/31/2006 25-1656603 09/07/2009 10/07/2019 4560.52
6721 12/31/2007 25-1656603 10/25/2010 11/24/2020 4676.47
940 12/31/2007 25-1656603 06/02/2008 07/02/2018
940 12/31/2007 25-1656603 04/12/2010 05/12/2020 994.56
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 11100.20
This notice was prepared and signed at DETROIT, MI
the 14 th day of June 2011
, on this,
Signature Title
T.sREVENUE OFFICER 22-06-1408
for MIGNA RODRIGUEZ (717) 777-9622
(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