HomeMy WebLinkAbout13-0595Form 668 (Y)(c)
(Rev. February 2004)
4804
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 919057613
~ `
As provided by section 6321, 6322, and 6323 of the Internal Revenue ~ ~ s ~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, r .,
c-.. ~, _
~='
there is a lien in favor of the lJnited States on all property and rights to ^-' ~ `'`'
property belonging to this taxpayer for the amount of these taxes, and zn'? ~T `'~
additional penalties, interest, and costs that may accrue. ;,; r r
~
Name of Taxpayer BRETT & JESSICA TROUT ~~. ~ ---~c~•
...
w .._..
.
~' ,'
.
.
,
Residence
946 BOSLER AVE ;'- ~T,-.
..~.. ~ ~a~
'?'
LEMOYNE , PA 17 0 4 3 -1713
_ - r-
~,; , •~
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (el, this notice shall,
~ ~ S ~>
~~ . ~ ~-
/
on the day following such date, operate as a certificate of release as defined
in IRC 63251a). ~~ ~ ~ ~ C~~
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (~
1040 12/31/2008 XXX-XX-4264 11/01/2010 12/01/2020 10120.93
1040 12/31/2009 XXX-XX-4264 09/13/2010 10/13/2020 8715.28
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 18836.21
This notice was prepared and signed at
the 29th day of January
DETROIT, MI
2013
on this,
Signature /' ~ Title
~ ~C-~-~ ACS SBSE 22-00-0001
for P.A. BECTON (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) Form 668(Y)(c) (Rev. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X