HomeMy WebLinkAbout12-1986Form 668 (Y)(c)
(Rev. February 2004)
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA 42
Lien Unit Phone: (800) 913-6050 856057512
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 , y.?
additional penalties, interest, and costs that may accrue. rn~'
Name of Taxpayer SCOTT FONNER I
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y
? - - J_
> Co
Residence 874 N FRONT ST
STEELTON, PA 17113-2131
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
o
i
n I 6325(a). ?30
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-1364 02/13/2012 03/15/2022 16573.66
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 16573.66
This notice was prepared and signed at
the 20th day of March
DETROIT, MI
2012
, on this,
Signature i? Title
TAX EXAMINER 22-06-1811
for PATRICK DUMM -4f?.t/
(610) 898-2925
(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 CAT. 668( (Rev. 2-20041
CAT. NO 60025X
Department of the Treasury - Internal Revenue Service