HomeMy WebLinkAbout13-0443Form 668 (Y)(c)
IRev. February 2004)
11883
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) 829-3903 917267313
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 EMORY G & CATHERINE M JOHNSON JR
Residence 555 WHISKEY RUN RD
NEWVILLE, PA 17241-8625
For Optional Use by Recording Office
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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, ~/ S Z~ ~~, [% . /
on the day following such date, operate as a certificate of release as defined ~
in IRC 6325(a). ~~ ~ J~ ~;~2..y
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 12/31/2011. XXX-XX-3023 05/28/2012 06/27/2022 5990.79
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 5990.79
This notice was prepared and signed at
the 18th day of January
DETROIT, MI
2 013
on this,
Signature Title
~~~C~~ ACS SBSE 22-00-0001
for P.A. BELTON (800) 829-3903
(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 t -Kept By Recording Office Form 668(Y)(c) IRev. 2-20041
CAT. NO 60025X