HomeMy WebLinkAbout12-3906Form 668 MW
(Rev. February 2004)
1
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 G
Lien Unit Phone: (800) 913-6050 874562912 7
/ (p
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 flability, but it remains unpaid. Therefore, -
there Is a lien in favor of the United States on all property and rights to 4 = -
property belonging to this taxpayer for the amount of these taxes, and }
additional penalties, interest, and costs that may accrue. ` =-
Name of Taxpayer MICHAEL J GENNA Po -ZL
Residence 3000 COLUMBIA AVE
CAMP HILL, PA 17011-5220
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, _ T
AS
on the day following such date, operate as a certificate of release as defined
IRC 6325
)
i 011r'a ?70GS
.
n
(a
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)
1040 12/31/2008 XXX-XX-8491 12/26/2011 01/25/2022 10065.50
1040 12/31/2011 XXX-XX-8491 05/28/2012 06/27/2022 1616.58
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 11682.08
This notice was prepared and signed at
the 13th day of June
DETROIT, MI
2012
, on this,
Signature Title
?\ C-ca-rl REVENUE OFFICER 22-06-1418
for JAKOB PEDERSEN (717) 777-9621
(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