HomeMy WebLinkAbout11-706512183
Department of the Treasury - Internal Revenue Service
Form 668 (y)(c) Notice of Federal Tax Lien
(Rev. February 2004)
Serial Number For Optional Use by Recording Office
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 812231311
'-L
l R f(,- 7206
E /r 7
evenue
As provided by section 6321, 6322, and 6323 of the Interna .
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 r
n
-,.rri
r`'rn
additional penalties, interest, and costs that may accrue. u,r
W .-
3r' N
Name of Taxpayer JOHN R MORRISON °
:Z C-t
r
?^
v
Residence
9 TRINE AVE '
MOUNT HOLLY SPRINGS, PA 17065-1144
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, 4a) ?. L
on the day following such date, operate as a certificate of release as defined
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 12/31/2004 XXX-XX-7914 08/15/2011 09/14/2021 2611.46
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 2611.46
This notice was prepared and signed at
DETROIT, MI
the 02nd day of September 2011
, on this,
Signature Title
REVENUE OFFICER 22-06-1413
for LINDSEY O BOWLIN 224-4t!nEl (717) 777-9623
(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(1 1
Part 1 - Kept By Recording Office CAT. N NO O 60025X
025X
CAT