HomeMy WebLinkAbout13-0718Form 668 (Y)(c)
(Rev. February 20041
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) 913-6050 920481713
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As provided by section 6321, 6322, and 6323 of the Internal Revenue
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Code, we are giving a notice that taxes (including interest and penalties) gym:
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. 1 `~-~ N ~-~
Name of Taxpayer BIMAL PATEL ~=° c--, ' ~~'
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Residence 13 3 0 ARMITAGE WAY r' ~'
MECHANICSBURG, PA 17050-6403
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, ~/ s-~~ ~ ,
on the day following such date, operate as a certificate of release as defined - f
in IRC 6325(a). ~~~ ~',~~-,•
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiting of Assessment
(a) (b) (c) (d) (e) (f)
6672 12/31/2010 XXX-XX-3285 01/14/2013 02/13/2023 6890.27
6672 03/31/2011 XXX-XX-3285 01/14/2013 02/13/2023 6031.26
6672 06/30/2011 XXX-XX-3285 01/14/2013 02/13/2023 6827.05
6672 09/30/2011 XXX-XX-3285 01/14/2013 02/13/2023 7953.56
6672 12/31/2011 XXX-XX-3285 01/14/2013 02/13/2023 6907.85
6672 03/31/2012 XXX-XX-3285 01/14/2013 02/13/2023 6647.31
6672 06/30/2012 XXX-XX-3285 01/14/2013 02/13/2023 6785.87
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 48043.17
This notice was prepared and signed at DETROIT, MI
the 05th day of February 2013
on this,
Signature ~ ~~ REVENUE OFFICER 22 - 06 -1818
for ERIK J EBERZ (717) 207-4344
(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 60025X