HomeMy WebLinkAbout13-0197Form 668 (Y)(c)
IRev. 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 914646213
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.
Name of Taxpayer
SO
Residence 316 LIBERTY CT
MECHANICSBURG, PA 17050-1830
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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, off SZ) ~~ ` ~' ~''
on the day following such date, operate as a certificate of release as defined ~
in IRC 6325(a). ~ ~~s ~~
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 12/31/2006 XXX-XX-3227 11/10/2008 12/10/2018 3948.43
1040 12/31/2007 XXX-XX-3227 07/12/2010 08/11/2020 3262.42
1040 12/31/2008 XXX-XX-3227 02/15/2010 03/16/2020 17120.80
1040 12/31/2011 XXX-XX-3227 05/28/2012 06/27/2022 12644.71
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
For Optional Use by Recording Office
Total ~$ 36976.36
This notice was prepared and signed at
the 04th day of January
DETROIT, MI
2013
on this,
Signature Title
~~~~-~ REVENUE OFFICER 22-06-1418
for JAKOB PEDERSEN (717) 777-9621
(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 668(Y)(c) IRev. 2-20041
CAT. NO 60025X