HomeMy WebLinkAbout11-6894Form 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
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 810515511
4 SR F??
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, c.
there is a lien in favor of the United States on all property and rights to ° -n
property belonging to this taxpayer for the amount of these taxes, and rrnco n z-n
additional penalties, interest, and costs that may accrue. Zorn -rv rn-
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Name of Taxpayer MICHAEL B & JUDY S COOK Z;?? o
Residence 2107 E COVENTRY LN MC)
N carn
ENOLA, PA 17025-1276
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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,
on the day following such date, operate as a certificate of release as defined --
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in IRC 6325(a). 19 41yoW 4
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Ref iling of Assessment
(a) (b) (c) (d) ( e) (f)
1040 12/31/2008 XXX-XX-1539 02/14/2011 03/16/2021 10674.41
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 10674.41
This notice was prepared and signed at
the 26th day of August
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) Form 668(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X