HomeMy WebLinkAbout12-1702Form 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 854001912
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
additional penalties, interest, and costs that may accrue. ) -
Name of Taxpayer JEFFERY A & SHARON A MAY cn
co
Cr%
Residence 192 TEXACO RD CD
FZ - -
MECHANICSBURG, PA 17050-2624 3>
NT RELEASE INFORMATION: For each assessment listed below,
e of the lien is refiled by the date given in column (e), this notice shall,
F
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following such date, operate as a certificate of release as defined /•
5(a).
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2008 XXX-XX-5700 06/08/2009 07/08/2019 2956.49
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 2956.49
This notice was prepared and signed at
the 08th day of March
DETROIT, MI
2012
, on this,
Signature ar/T?tc` ACS SBSE 22-00-0001
for FRED BANKS (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) Form 668(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X