HomeMy WebLinkAbout12-5957Form 668 (Y)(c)
(Rev. February 20041
1883
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650 894446412
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As provided by section 632 t , 6322, and 6323 of the Internal Revenue L
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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 .,, ;__,
property belonging to this taxpayer for the amount of these taxes, and ~= "..:-~ .__
additional penalties, interest, and costs that may accrue. ~~
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Name of Taxpayer RODNEY L JOHNSON ~ ~ "~P;-~;
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Residence 816 GOBIN DR C.
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CARLISLE, PA 17013-1513 ~~~ ~ `-';~~
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, """
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unless notice of the lien is refiled by the date given in column (e1, this notice shall, %
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on the day following such date, operate as a certificate of release as defined i
in IRC 6325(a). ~?l" ~~ //~~
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2004 XXX-XX-8893 11/10/2008 12/10/2018 2773.58
1040 12/31/2005 XXX-XX-8893 11/10/201J8 12/10/2018 5118.07
1040 12/31/2006 XXX-XX-8893 03/23/2009 04/22/2019 2869.27
1040 12,/31/2007 XXX-XX-8893 03/29/20:L0 04/28/2020 1300.90
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 12061.82
This notice was prepared and signed at
the 18th day of September
DETROIT, MI
2012
on this,
Signature ~~~ Title
\C~cs-~ ACS W&I 11-00-0000
for DEBRA K. HURST (800) 829-7650
(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