HomeMy WebLinkAbout11-8211Form 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) 913-6050 822168011
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 0-7
property belonging to this taxpayer for the amount of these taxes, and ~' _,rv d-
additional penalties, interest, and costs that may accrue.
Name of Taxpayer MARK K MARTIN ,
MARTINS BELLA CUSTOMS
_.c
Co
Residence 55 ARMY HERITAGE DR
CARLISLE, PA 17013-8858
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, 7 O
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a). A 7 '7
Tax Period Date .of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) (f)
941 12/31/2010 25-1827761 03/28/2011 04/27/2021 376.40
941 03/31/2011 25-1827761 07/04/2011 08/03/2021 5502.37
941 06/30/2011 25-1827761 10/03/2011 11/02/2021 4724.41
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 10603.18
This notice was prepared and signed at DETROIT, MI
the 19th day of October 2011
, on this,
Signature Title
mac` REVENUE OFFICER 22-06-1407
for SEAN DUNLEAVY (717) 777-9626
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-4-66, 1971 - 2 C.B. 409)
Part 1 - Kept By Recording Office CAT. 668( (Rev. 2-2004)
CAT. NO 60025X
X