HomeMy WebLinkAbout12-0405Form 668 M(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) 829-3903 840410412
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 sn rn
M :r-
additional penalties, interest, and costs that may accrue. z
Name of Taxpayer JOSEPH C WENTZ ?
.
Residence 160 KONHAUS RD r
MECHANICSBURG, PA 17050-3126 _
-i
C
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
i
IRC 63251
1
70 5??S
n
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) (f)
1040 12/31/2005 XXX-XX-2377 12/06/2010 01/05/2021 6317.11
1040 12/31/2006 XXX-XX-2377 12/06/2010 01/05/2021 11824.56
1040 12/31/2007 XXX-XX-2377 12/06/2010 01/05/2021 9326.78
1040 12/31/2008 XXX-XX-2377 03/07/2011 04/06/2021 5937.75
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 33406.20
This notice was prepared and signed at DETROIT, MI
the 06th day of January 2012
, on this,
Signature Title
ACS SBSE 22-00-0001
for FRED BANKS =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 1 - Kept By Recording Office Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X