HomeMy WebLinkAbout12-1410Form 668 MW
(Rev. February 2004)
6
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 851355112
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evenue
As provided by section 6321, 6322, and 6323 of the Internal
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
additional penalties, interest, and costs that may accrue.
X
Name of Taxpayer MATTHEW E SR & ANGELA J MALONE s
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Residence 315 DWELLING CT 'r :X
SHIPPENSBURG, PA 17257-8752
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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.
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a). .2
7f 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)
1040 12/31/2007 XXX-XX-8555 06/02/2008 07/02/2018 5751.37
1040 12/31/2008 XXX-XX-8555 09/14/2009 10/14/2019 14406.43
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 20157.80
This notice was prepared and signed at
the 24th day of February
DETROIT, MI
2012
, on this,
Signature Title
t? 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)
Pan 1 - Kept By Recording Office Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X