HomeMy WebLinkAbout12-7325Form 668 (Y)(c)
(Rev. February 2004)
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 906923812
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 penalties, interest, and costs that may accrue.
e of I axpayer
Residence 4 6 0 OLD YORK RD
DILLSBURG, PA 17019-9687
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
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).
Far Qotional Use by Recordinn Office
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Tax Period Date of last Da~y for unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
{a) (b) (c) (d) e) (f)
1040 12/31/2007 XXX-XX-7178 10/29/2012 11/28/2022 17445.57
1040 12/31/2008 XXX-XX-7178 10/29/2012 11/28/2022 25939.83
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~ $
43385.40
This notice was prepared and signed at
the 19th day of November 2012
DETROIT, MI
on this,
Signature ~ C~~, 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)
Part 1 -Kept BY Recording OPfiu Form 66$(lf)(c) (Rev. 2-20041
CAT. NO 60025X