HomeMy WebLinkAbout11-7914Form 668 (Y)(c)
(Rev. February 2004)
1
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area:
SMAL Serial Number For Optional Use by Recording Office
L BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 820123511
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 y ? a ?i' 71
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 rn
property belonging to this taxpayer for the amount of these taxes, and =rT C-)
--+,
additional penalties, Interest, and costs that may accrue. r-
l
co
Name of Taxpayer ROBERT W HUDSON ;.
V--:t
*==
_
Residence 17 E KING ST APT 1 -_ ;
SHIPPENSBURG, PA 17257 - "'
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,
h
d
Fn t
e
ay following such date, operate as a certificate of release as defined f
in IRC 6325(a). i9wil
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Day for
Refiling Unpaid Balance
of Assessment
(a) (b (c) (d) (e) M
1040 12/31/2007 XXX-XX-4743 04/25/2011 05/25/2021 626.55
1040 12/31/2009 XXX-XX-4743 04/18/2011 05/18/2021 246.55
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 873.10
This notice was prepared and signed at
the 07th day of October
DETROIT, MI
2011
, on this,
Signature Title
ACS SBSE 22-00-0008
for MICHAEL W. COX -44*zo??4 (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)
Part I - Kept By Recording Office CAT. 668( (Rev. 2-2004)
CAT. NO 60025X