HomeMy WebLinkAbout12-2226Form 668 (Y)(O
(Rev. February 2004)
3756
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 #3
Lien Unit Phone: (800) 913-6050 857724712 _
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
-°n
--
additional penalties, interest, and costs that may accrue. rT,
Name of Taxpayer KAMERON PYLANT --
?. 4.1
Residence PO BOX 200
==
CAMP HILL, PA 17001
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,
fin
l
d
d
ifi
f
ease as
e
e
cate o
re
on the day following such date, operate as a cert
in IRC 63251a1. ?3->D
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Ref Eing of Assessment
(a) (b) (c (d), (e) (f)
1040 12/31/2007 XXX-XX-2818 04/11/2011 05/1 1/2021 61667.91
1040 12/31/2008 XXX-XX-2818 04/11/2011 05/11/2021 40455.98
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 102123.89
This notice was prepared and signed at
DETROIT, MI
the 28th day of March 2012
, on this,
Signature- Title
REVENUE OFFICER 23-02-2017
for MS. Y.E. LINDSAY (954) 423-7797
(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