HomeMy WebLinkAbout13-2209 Form 668 (Y)(c) 11883
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 #1
Lien Unit Phone: (800) 913 -6050 933528113
As provided by section 6321, 6322, and 6323 of the Internal Revenue 13 . d aor
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 Ca r . 7 -a
property belonging to this taxpayer for the amount of these taxes, and
a Z =.-
additional penalties, interest, and costs that may accrue.
Name of Taxpayer ANDREW J SODERSTROM JR =,4j ;
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Residence '
1 YATES ST a
MT HOLLY S PGS ,. PA 17065-1017 == � CO
FoinI ORTANT RELEASE INFORMATION For each assessment listed below
s notice of the lien is refiled by the date given in column (e), this notice shall, �-
e day following such date, operate as a certificate of release as defined P'�' '
6325(a). Kam'• Z:2
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2007 XXX -XX -8450 11/03/2008 12/03/2018 3341.59
1040 12/31/2008 XXX -XX -8450 11/16/2009 12/16/2019 3657.03
1040 12/31/2009 XXX -XX -8450 12/05/2011 01/04/2022 4349.08
1040 12/31/2010 XXX -XX -8450 12/05/2011 01/04/2022 4076.78
1040 12/31/2011 XXX -XX -8450 11/19/2012 12/19/2022 2672.91
Place of Filing
Prothonotary
Cumberland County Total $ 18097.39
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, M , on this,
the 12th day of April 2013
Signature Title
ACS SBSE 21 -00 -0008
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) Form 668(Y)(c) (Rev. 2 -2004)
Part 1 -Kept By Recording Office CAT. NO 60025X