HomeMy WebLinkAbout12-7156ia- ~~5
3460
~`l'L
Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 20041 Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
X _
Lien Unit Phone: (800) 913-6050 906019312 ~ -
21.50
As provided by section 6321, 6322, and 6323 of the Internal Revenue ~'~ oZ83t1.53
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, ~ rv W~;
there is a lien in favor of the lJnited States on all property and rights to ~ ~ .--,
property belonging to this taxpayer for the amount of these taxes, and r-t ; csa ~ ~n
additional penalties, interest, and costs that may accrue. ~ ~ ~ _;~~
Name of Taxpayer TIMOTHY R PARRISH c~'y> ~ ~~
,r --~ c
.~~~
;;-~, ~.., '"~r
~ u -z 1
-_
Residence 6 SPRING DR ,:p ~~=,~
y - `~' i + i
SHIPPENSBURG, PA 17257-9465 ~~ <-,
::~ a
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column 1e1, this notice shall,
on the day following such date, operate as a certificate of release as defined
in IRC 6325(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 12/31/2003 XXX-XX-9784 05/31/2004 06/30/2014 1576.66
1040 12/31/2009 XXX-XX-9784 10/22/2012 11/21/2022 8186.30
1040 12/31/2010 XXX-XX-9784 10/22/2012 11/21/2022 149.24
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~ $ 9 912 .2 0
This notice was prepared and signed at DETROIT, MI
the 14th day of November 2012
on this,
Signature ~~~ REVENUE OFFICER 22-06-2620
for JACOB `KAISE`R (304) 263-7625
(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. 2-20041
Part 1 -Kept By Recording Office CAT. NO 60025X