HomeMy WebLinkAbout12-4920Form 668 (Y)(c)
(Rev. 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 884863012
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and enakles)
have been assessed against the following-named taxpayer. We a made
a demand for payment of this liability, but It remains unpaid. refore,
there Is a lien In favor of the United States on all property and ghts to
property belonging to this taxpayer for the amount of these es, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer MARK D REILEY DPM
Residence 4230 CRUMS MILL RD
HARRISBURG, PA 17112-2823
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IMPORTANT RELEASE INFORMATION: For each assessment list d below,
unless notice of the lien is refiled by the date given in column (e), this no ice shall, a! SZ7 G?
on the day following such date, operate as a certificate of release a defined
in IRC 6325(a). )e-" 77
Tax Period Date of Last D for Um
Kind of Tax Ending Identifying Number Assessment Refi g of
940 12/31/1996 23-2349927 07/17/200 08/16/2016 9 33.00
940 12/31/2000 23-2349927 07/17/200 08/16/2016 6 37.74
940 12/31/2001 23-2349927 07/17/200 08/16/2016 6 39.02
940 12/31/2002 23-2349927 07/17/200 08/16/2016 6 44.42
941 06/30/2001 23-2349927 07/17/200 08/16/2016 3 00.53
941 09/30/2001 23-2349927 07/17/200 08/16/2016 4 93.77
941 12/31/2001 23-2349927 07/17/200 08/16/2016 7 65.62
941 03/31/2002 23-2349927 07/17/200 08/16/2016 6 83.88
941 06/30/2002 23-2349927 07/17/200 08/16/2016 6 00.66
941 09/30/2002 23-2349927 07/17/200 08/16/2016 6 18.66
941 12/31/2002 23-2349927 07/17/200 08/16/2016 6 42.36
Place of Filing
Prothonotary
Cumberland County Total $ 675 9.66
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI
the 30th day of July 2012
on this,
Signature / REVS E OFFICER 22-0 1407
for SEAN DUNLEAVY (717) 777-9626
(NOTE: Certificate of officer authorized by law to take acknowledgment is no essential to the validity of Notice of Federal T x lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409)
Form 668( . 1
Part 1 - Kept By Recording Othce CAT. N NO 60025X
CAT
025X
For
Use
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