HomeMy WebLinkAbout12-6114Form 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) 829-3903 895340512
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As provided by section 6321, 6322, and 6323 of t
Code, we are giving a notice that taxes (including interest and penahks)
have been assessed against the follohring-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore,
there is a lien in favor ~ the lJnited States on all property and rights to
properly bebnging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue. .,,~ ~ ,,~, -. ~'i
Name of Taxpayer THOMAS DELP xww+~~yy cai r~r}a-arrM-
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Residence 224 HOGESTOWN RD ;C~ -~~
MECHANICSBURG PA 17050-3118 ~'~ ~ `"`'~~'
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, r tv 4`'
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unless notice of the lien is refiled by the date given in column (e), this notice shall, ~`,~~ ~ . '~
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a). ~ ~39~
Tax Period Date of Last D for tJnpaW Balance
Kind of Tax Ending Identifying Number Assessment Refi~g of Assessment
(a) (b) (c) (d (e)
1040 12/31/2005 XXX-XX-9141 12/05/2011 01/04/2022 1294.41
1040 12/31/2006 XXX-XX-9141 12/05/2011 01/04/2022 2797.07
1040 12/31/2007 XXX-XX-9141 12/05/2011 01/04/2022 1038.48
1040 12/31/2008 XXX-XX-9141 09/05/2011 10/05/2021 24793.98
1040 12/31/2009 XXX-XX-9141 01/09/2012 02/08/2022 38237.06
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~ $ 6 8161.0 0
This notice was prepared and signed at DETROIT, MI
the 21st day of September 2012
on this,
Signature Title
~~~~-~ ACS SBSE 22-00-0001
for P.A. BECTON (800) 829-3903
(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)
Part t -Kept sY Recording O(flce Form 668(Y)(c) (Rev. 2-20041
CAT. NO 60025X