HomeMy WebLinkAbout11-7064Form 668 (Y)(c)
(Rev. February 2004)
12183
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 812231211
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
additional penalties, interest, and costs that may accrue.
Name of Taxpayer DENNI
JR
For Optional Use by Recording Office
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Residence 16 W MAIN ST APT 6
MECHANICSBURG, PA 17055-7414
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
in IRC 6325(a).
Tax Period
Kind of Tax Ending Identifying Number
(a) (b) (c)
1040 12/31/2010 XXX-XX-3594
Place of Filing
Date of I Last Day for
Assessment Refilling
08/08/20111 09/07/2021
3277.81
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 3277.81
This notice was prepared and signed at
DETROIT, MI
the 02nd day of September 2011
, on this,
Signature Title
REVENUE OFFICER 22-06-1407
(717) 777-9626
for SEAN DUNLEAVY
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(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
Unpaid Balance
of Assessment