HomeMy WebLinkAbout12-6949Form 668 (Y)(c)
(Rev. February 2004)
1883
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 904574412
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,
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 penahies, interest, and costs that may accrue.
Name of Taxpayer JUSTIN D CRIDER
Residence 805 MARSHALL DR
CARLISLE, PA 17013-1665
DETROIT, MI
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 (e), this notice shall, a~, S~j ~~ -
on the day following such date, operate as a certificate of release as defined
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(a).
in IRC
3 a
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 12/31/2009 XXX-XX-5374 09/10/2012 10/10/2022 1777.78
1040 12/31/2010 XXX-XX-5374 05/30/2011 06/29/2021 1622.36
1040 12/31/2011 XXX-XX-5374 09/03/2012 10/03/2022 5176.58
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
the 06th day of November
Office
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Signature / ;~-~~{ REVENUE OFFICER 22-06-1408
for MIGNA RODRTGUEZ (717) 777-9622
For Optional Use
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Total ~$ 8576.72
(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