HomeMy WebLinkAbout13-6935 11883
Form
Department of the Treasury - Internal Revenue Service
668 (Y)(c)
(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 968762813
As provided by section 6321, 6322, and 6323 of the Internal Revenue J t
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 �3i=
property belonging to this taxpayer for the amount of these taxes, and`+
additional penalties, interest, and costs that may accrues N c�)
Name of Taxpayer JONATHAN D ROGERS SR
C:) --
Residence 520 OAKVILLE RD �•- 7
SHIPPENSBURG,
PA 17257 -9796
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, / T
on the day following such date, operate as a certificate of release as defined ° L C
in IRC 6325(a).
Tax Period Date of Last Da for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2007 XXX -XX -6073 05/23/2011 06/22/2021 65989.28
1040 12/31/2008 XXX -XX -6073 02/18/2013 03/20/2023 14472.40
1040 12/31/2009 XXX -XX -6073 02/18/2013 03/20/2023 25563.29
Place of Filing
Prothonotary
Cumberland County Total $ 106024.97
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 13th day of November 2013
Signature Title
REVENUE OFFICER 22 -06 -1408
for MIGNA RODRIGUEZ (717) 777 -9622
(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( CAT (Rev. 025X )
Part 1 - Kept By Recording Office
CAT. NO 60025X