HomeMy WebLinkAbout13-2207 11883
Form 668 (Y)(c) Department of the Treasury - Internal Revenue Service
(Rev. February 2004) 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 933015113
As provided by section 6321, 6322, and 6323 of the Internal Revenue 13 c; 7
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following -named taxpayer. We have made c a,
a demand for payment of this liability, but it remains unpaid. Therefore, ==
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there is a lien in favor of the United States on all property and rights to r�1 � � �-,-; -T1
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue. nr - ;v rV
Name of Taxpayer CHRISTOPHER L BROCKMAN'
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C: LYE _ r ...
Residence 1241 HUNTERS RIDGE ROAD
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MECHANICSBURG, PA 17050 - 0000 .., A
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,
on the day following such date, operate as a certificate of release as defined ° � j =s 0
in IRC 6325(a). /)L.o✓ a �9�3
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2005 XXX -XX -4550 03/25/2013 04/24/2023 18608.89
1040 12/31/2006 XXX -XX -4550 03/25/2013 04/24/2023 17675.97
1040 12/31/2007 XXX -XX -4550 03/25/2013 04/24/2023 16907.09
1040 12/31/2008 XXX -XX -4550 03/25/2013 04/24/2023 10652.91
1040 12/31/2009 XXX -XX -4550 03/25/2013 04/24/2023 12022.66
1040 12/31/2010 XXX -XX -4550 03/25/2013 04/24/2023 15188.17
1040 12/31/2011 XXX -XX -4550 03/25/2013 04/24/2023 228.66
Place of Filing
Prothonotary
Cumberland County Total $ 91284.35
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 11th day of April 2013
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) (Rev. 2 -2004)
CAT. NO 60025X