HomeMy WebLinkAbout14-0418 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 977641314
As provided by section 6321, 6322, and 6323 of the Internal Revenue l y q TL
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
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue. c,)
Name of Taxpayer KENNETH R ROUSH
-Naa +.t.
Residence
14 PARADISE DR
CARLISLE, PA 17015 -9725
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 T
in IRC 6325(a). 1AH 3 6>0 - 7V
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 12/31/2010 XXX -XX -9812 11/21/2011 12/21/2021 9821.04
1040 12/31/2011 XXX -XX -9812 11/26/2012 12/26/2022 15669.15
Place of Filing
Prothonotary
Cumberland County Total $ 25490.19
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 09th day of January 2014
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) Form 668(Y)(c) (Rev. 2 -2004)
Part 1 -Kept By Recording Office
CAT. NO 60025X