HomeMy WebLinkAbout12-7159Form 668 (Y)(c)
(Rev. February 20041
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
DETROIT, MI
Serial Number For Optional Use by Recording Office
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #2 ~~~0 By ~~
Lien Unit Phone: (800) 913-6050 906620912 ~,
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As provided by section 6321, 6322, and 6323 of the Internal Revenue ~
Or
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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 rn ca i n ~-'
property belonging to this taxpayer for the amount of these taxes, and ~ -- c -~ ~ ,
additional penalties, interest, and costs that may accrue. ~-~~ "., off'
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Name of Taxpayer CHARLES B BRAXTON JR ~-_c
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Residence 7067 CARLISLE PIKE APT 6 =± `~">
CARLISLE, PA 17015-8803 ~ `~'
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column lel, 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 Bala nce
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (~
1040 12/31/2011 XXX-XX-1395 10/15/2012 11/14/2022 2576.11
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~ $ 2576.11
This notice was prepared and signed at
on this,
the 16th day of November 2012
Signature Title
~ \ ~~.~ REVENUE OFFICER 22-06-1413
for LINDSEY O BOWLIN (717) 777-9623
(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