HomeMy WebLinkAbout14-0731 11883
Form 668 (Y)(c) Department of the Treasury - Internal Revenue Service
(Rev. February 2004) No tice 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 982269014 ��� ,.�
As provided by section 6321, 6322, and 6323 of the Internal Revenue
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.
Name of Taxpayer RONALD VAN ART
CZ
X jr
ma y , S
Residence r`
PO BOX 147
SHIPPENSBURG, PA 17257
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 f' '
in IRC 6325(a).
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 12/31/2007 XXX -XX -3840 10/12/2009 11/11/2019 1931.18
1040 12/31/2010 XXX -XX -3840 06/17/2013 07/17/2023 60428.12
1040 12/31/2011 XXX -XX -3840 07/30/2012 08/29/2022 749.48
Place of Filing
Prothonotary
Cumberland County Total $ 63108.78
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 30th day of January 2014
Signature Title
ACS W &I 11 -00 -0000
for DEANN BENDER (800) 829 -7650
(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( CAT (Rev. 2 20041
CAT. NO 60025X