HomeMy WebLinkAbout11-6753Form 668 (Y)(c)
(Rev. February 2004)
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 809032511
As provided by section 6321, 6322, and 6323 of the Internal Revenue it - 7S 3 TL
Code, we are giving a notice that taxes (including interest and penalties)
C S
o "'
have been assessed against the following-named taxpayer. We have made -?3 = --
a demand for payment of this liability, but it remains unpaid. Therefore, rn c rn -
there is a lien in favor of the United States on all property and rights to
cor- G-j -orn
property belonging to this taxpayer for the amount of these taxes, and
<>
( CD
additional penalties, interest, and costs that may accrue. a-n
Name of Taxpayer RICHARD E MUSSELMAN ZCC) 3 c
::)
Residence 3 LOCUST RD -t c- -
CAMP HILL, PA 17011-6724
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 od.
ee
in IRC 6325(a). l ??-
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2006 XXX-XX-6763 03/15/2010 04/14/2020 18954.40
1040 12/31/2007 XXX-XX-6763 05/31/2010 06/30/2020 9676.77
1040 12/31/2008 XXX-XX-6763 03/07/2011 04/06/2021 16326.62
1040 12/31/2009 XXX-XX-6763 07/18/2011 08/17/2021 15126.08
1040 12/31/2010 XXX-XX-6763 07/18/2011 08/17/2021 19228.29
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 79312.16
This notice was prepared and signed at
the 19th day of August
DETROIT, MI
2011
, on this,
Signature Title
REVENUE OFFICER 22-06-1418
for JAKOB PEDERSEN (717) 777-9621
(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) Form 668(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X
Department of the Treasury - Internal Revenue Service