HomeMy WebLinkAbout11-7723Form 668 MW
(Rev. February 2004)
1883
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 818424211
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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 Win?Y
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 P 4q
property belonging to this taxpayer for the amount of these taxes, and ;Z --+ Or,
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additional penalties, interest, and costs that may accrue. CA r
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Name of Taxpayer MICHAEL J GENNA 37
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Residence 3000 COLUMBIA AVE '
CAMP HILL, PA 17011-0000
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,
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on the the day following such date, operate as a certificate of release as defined I P
in IRC 6325(a).
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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 01/31/1950 XXX-XX-8491N 01/08/2007 02/07/2017 27937.44
1040 12/31/2003 XXX-XX-8491N 09/27/2004 10/27/2014 21168.47
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 49105.91
This notice was prepared and signed at
DETROIT, MI
the 03rd day of October_ 2011
, on this,
Signature Title
Lr` REVENUE 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 CAT. 668( (Rev. 2-2004)
CAT. NO 60025X