HomeMy WebLinkAbout12-4429Form 668 (Y)(c)
(Rev. February 2004)
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 880348112
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, .U:r
there is a lien in favor of the United States on all property and rights to ?m
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property belonging to this taxpayer for the amount of these taxes, and '
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additional penalties, interest, and costs that may accrue. -.1
Name of Taxpayer EDWARD A THOMAS Cam`
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Residence 315 YORK RD
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CARLISLE, PA 17013-3159
NT RELEASE INFORMATION: For each assessment listed below,
e of the lien is refiled by the date given in column (e), this notice shall,
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following such date, operate as a certificate of release as defined '
IRC
5(a). a?Yr)76,
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)
6672 03/31/2007 XXX-XX-7296 10/03/2011 11/02/2021 8737.23
6672 06/30/2007 XXX-XX-7296 10/03/2011 11/02/2021 8737.23
6672 09/30/2007 XXX-XX-7296 10/03/2011 11/02/2021 8737.23
6672 12/31/2007 XXX-XX-7296 10/03/2011 11/02/2021 8737.23
6672 03/31/2008 XXX-XX-7296 10/03/2011 11/02/2021 16049.68
6672 06/30/2008 XXX-XX-7296 10/03/2011 11/02/2021 18473.93
6672 09/30/2008 XXX-XX-7296 10/03/2011 11/02/2021 25558.97
6672 12/31/2008 XXX-XX-7296 10/03/2011 11/02/2021 28359.75
6672 03/31/2009 XXX-XX-7296 10/03/2011 11/02/2021 10364.72
6672 06/30/2009 XXX-XX-7296 10/03/2011 11/02/2021 6303.59
6672 09/30/2009 XXX-XX-7296 10/03/2011 11/02/2021 82950.00
6672 12/31/2009 XXX-XX-7296 10/03/2011 11/02/2021 82950.00
6672 03/31/2010 XXX-XX-7296 10/03/2011 11/02/2021 287.92
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 306247.48
This notice was prepared and signed at
DETROIT, MI
the 10th day of July 2012
, on this,
Signature Title
C-?-? 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