HomeMy WebLinkAbout12-7507Form 668 (Y)(c)
(Rev. February 20041
1
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) 829-:3903 910268112
As provided by section 6321, 6322, and 6323 of the Internal Revenue
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e, 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 r, ~ ' `~ -
,
additional penalties, interest, and costs that may accrue. '=~~
4
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Name of Taxpayer JAMON D REID 1=' .- '
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Residence 22 WESTMINSTER CT ~' ~'''
CARLISLE, PA 17013-1799 ~-= '-'
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column le), this notice shall,
on th
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date, operate as a certificate of release as defined j~^f
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in IRC 63251a1. ~,. ~ ~. y, 3/
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Dayy for
Refiling unpaid Balance
of Assessment
(a) (b) (c) (d) (e) (f)
1040 12,/31/2010 XXX-XX-3578 11/21/2011 12/21,/2021 3750.06
1040 12/31/2011 XXX-XX-3578 05/28/2012 06/27,/2022 3274.60
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 7024.66
This notice was prepared and signed at
DETROIT, MI
the 06th day of December 2012
on this,
Signature ~~- Title
` ~C-'~{ ACS SBSE 22-00-0001
for P.A. BECTON (800) 829-3903
~....^~: ~.Ciuncece or orncer autnonzed 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 668(Y)(c) (Rev. 2-20041
CAT. NO 60025X