HomeMy WebLinkAbout12-0580Form 668 (Y)(c)
(Rev. February 2004)
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 844243312
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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
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 MCO
property belonging to this taxpayer for the amount of these taxes, and --,"
additional penalties, interest, and costs that may accrue.
Name of Taxpayer MATTHEW J GRANITE = C-D
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C
ro
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Residence 1425 TIMBER BROOK DR
MECHANICSBURG, PA 17050-9160
NT RELEASE INFORMATION: For each assessment listed below,
IMPO
unless ne of the lien is refiled by the date given in column (e), this notice shall,
:
o
on the following s uch date, operate as a certificate of release as defined
d
a
in IRC 5(a).
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)
1040 12/31/2010 XXX-XX-7776 11/14/2011 12/14/2021 43973.82
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at _ DETROIT, MI
the 23rd day of January 2012
Total 1$ 43973.82
, on this,
Signature Title
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
Form 668( (Rev. ?
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Part 1 - Kept By Recording Office CAT. NO 60025X
CAT
025X