HomeMy WebLinkAbout12-7345Form 668 (Y)(c)
(Rev. February 20041
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) 913-6050 908265812 ~a ,~~ r~li
As provided by section 6321, 6322, and 6323 of the Internal Revenue ~ S
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 ~ 3 ~ ~-~
additional penalties, interest, and costs that may accrue. T ~ ~ ~= i ~`
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Residence 310 BRIDGE ST APT D -s=ue.. .r~_ °`-
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NEW CUMBERLND, PA 1707.0-2170 .
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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, a/, ~ ~ , ~, T
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a). ~ a~ 3 ~~3
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 12/31/2007 XXX-XX-9594 10/31/2011 11/30/2021 142927.78
1040 12/31/2008 XXX-XX-9594 04/11/2011 05/11/2021 31650.33
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 174578.11
This notice was prepared and signed at
the 27th day of November
DETROIT, MI
2012
on this,
Signature Title
~~~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 Office Form bb8(Y)(c) iRev. 2-20041
CAT. NO 60025X