HomeMy WebLinkAbout12-2585Form 668 (Y)(c)
(Rev. February 2004)
4804
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) 913-6050 862127012
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 -V:x Pj
property belonging to this taxpayer for the amount of these taxes, and
rnm
230
"a Fn ?--
additional penalties, interest, and costs that may accrue. X ? = -V
-
C
ED
Name of Taxpayer BRIAN E NOLL -4C)
"t -
< y
=?
-7
r
m r> r,
i
Residence
1468 YORK RD ?? •• -''
CARLISLE, PA 17015 -i Co
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 ?-
/
n I 6325(a).
i )l°t1" y3a
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
6721 12/31/2003 94-3420036 10/09/2006 11/08/2016 4494.66
940 12/31/2005 94-3420036 05/28/2007 06/27/2017 139.23
941 06/30/2005 94-3420036 12/26/2005 01/25/2016 1295.74
941 09/30/2005 94-3420036 01/30/2006 02/29/2016 4581.15
941 12/31/2006 94-3420036 06/04/2007 07/04/2017 254.55
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 10765.33
This notice was prepared and signed at
the 18th day of April
DETROIT, MI
2012
, on this,
Signature Title
?\ Q--- REVENUE OFFICER 22-06-1441
for DENNIS P ZMUDZIN (717) 777-9624
(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( IRev. 2 20041
CAT. NO 60025X