HomeMy WebLinkAbout12-23944
Form 668 M(c)
Mev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
For Optional Use by Recording Office
8601769121 /2„ - .239Y
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 LOIS A HEN
Residence 5450 WESTBURY DR
ENOLA, PA 17025
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
in IRC 6325(a).
Kind of Tax
6672
6672
6672
6672
6672
6672
6672
6672
6672
6672
6672
6672
Place of Filing
Tax Period
Ending
12/31/2007
03/31/2008
06/30/2008
09/30/2008
12/31/2008
03/31/2009
06/30/2009
09/30/2009
12/31/2009
03/31/2010
06/30/2010
09/30/2010
Identifying Number
(c)
XXX-XX-5116
XXX-XX-5116
XXX-XX-5116
XXX-XX-5116
XXX-XX-5116
XXX-XX-5116
XXX-XX-5116
XXX-XX-5116
XXX-XX-5116
XXX-XX-5116
XXX-XX-5116
XXX-XX-5116
Date of
Assessment
03/21/2011
03/21/2011
03/21/2011
03/21/2011
03/21/2011
03/21/2011
03/21/2011
03/21/2011
03/21/2011
03/21/2011
03/21/2011
03/21/2011
C") Q C.i
q
r
--? o
PcL
Last Day for
Refilling
(e)
04/20/2021
04/20/2021
04/20/2021
04/20/2021
04/20/2021
04/20/2021
04/20/2021
04/20/2021
04/20/2021
04/20/2021
04/20/2021
04/20/2021
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 128115.75
This notice was prepared and signed at
the 09th day of April
Signature Title
REVENUE OFFICER 22-06-1408
for MIGNA RODRIGUEZ (717) 777-9622
DETROIT, MI
Unpaid Balance
of Assessment
11487.03
14324.08
12829.39
14175.60
12244.26
13160.72
4206.76
8803.28
7955.24
10360.47
9195.39
9373.53
, on this,
2012
(NOTE: Certificate of officer authorized bylaw to take acknowledgment is not essential to the validity of Notice of Federal i ax 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