HomeMy WebLinkAbout12-5060 l
4804
Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c) Notice Of Federal Tax Lien
(Rev. Februarys 2004)
Area: Serial Number For Optional Use by Recording Office
SMALL B SINESS/SELF EMPLOYED AREA #2
Lien Unit hone: (800) 829-3903 886545412
As pr by section 6321, 6322, and 6323 of the Internal Revenue l ~ S~~~Q
Code, w are giving a notice that taxes (including interest and penalties)
have n assessed against the following-named taxpayer. We have made
a dema for payment of this liability, but it remains unpaid. Therefore, ~
there is lien in favor of the lJnited States on all property and rights to ~ ~
props belonging to this taxpayer for the amount of these taxes, and ~ ~
additio 1 penalties, interest, and vests that may accrue. -~a
r
Name of axpayer FREDERICK SULLENBERGER ~
3~' ~
Residence ~s..,
24 LANCASTER AVE
ENOLA, PA 17025-2008 =-a C-
IMPO TANT RELEASE INFORMATION: For each assessment listed below,
unless n tics of the lien is refited by the date given in column (e), this notice shall, a~ ~ Apo(. L%_ 'T
on the ay following such date, operate as a certificate of release as defined LL
in IRC 3251a). /G'r~ 0~7~3~
Tax Period Date of Last Dayy for unpaid Ba nce
Kind of x Ending Identifying Number Assessment Refiting of Assessm nt
(a) (b) (c) (d) (e)
1040 12/31/2007 XXX-XX-6046 12/13/2010 01/12/2021 26083.01
1040 12/31/2008 XXX-XX-6046 11/07/2011 12/07/2021 55606.45
Place of Fi ing
Prothonotary
Cumberland County Total $ 816 9.46
Carlisle, PA 17013
This notic~ was prepared and signed at DETROIT, MI , on this,
the 7th day of August 2012
i
Signature ACS SBSE 22-0 -0001
for P. BECTON (800) 829-3903
(NOT :Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Ta 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 0025X
_ ~ I