HomeMy WebLinkAbout13-0293Form 668 (Y)(c)
(Rev. February 2004)
4804
Department of the Treasury -Internal Revenue Service
Notice of Federal Tau Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #1
Lien Unit Phone: (800) 913-6050 916114413 /-~~
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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, ~ ~;~,r
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there is a lien in favor of the United States on all property and rights to _
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taxpayer for the amount of these taxes, and
property belonging to this ~""' ` _„
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additional penalties, interest, and costs that may accrue. c
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Name of Taxpayer MARK W BRADLEY ~~ ,..~
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Residence
18 7 7 WALNUT BOTTOM RD
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NEWVILLE, PA 17241 ~' ~ ~~
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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, ~
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on the day following such date, operate as a certificate of release as defined
in IRC 6325(a). ~~ ~ „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 12/31/2008 XXX-XX-9018 06/25/2012 07/25/2022 10348.76
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 10348.76
This notice was prepared and signed at DETROIT, MI
the 11th day of January 2013
Signature ~'~-~ C~~ CASE PROC MGR 21- 0 0 - 0 018
for KAREN ESPOSITO (866) 611-6191
on this,
(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) (Rev. 2-2004)
CAT. NO 6009.r,X