Loading...
HomeMy WebLinkAbout14-0780 11883 Department of the Treasury - Internal Revenue Service Form 668 (Y)(c) (Rev. February 2004) Notice of Federal Tax Lien Area: Serial Number For Optio Use by Recording Office SMALL BUSINESS /SELF EMPLOYED AREA #2 Lien Unit Phone: (800) 913 -6050 982580014 �- 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 �, c a demand for payment of this liability, but it remains unpaid. Therefore, C there is a lien in favor of the United States on all property and rights to -P property belonging to this taxpayer for the amount of these taxes, and M r- additional penalties, interest, and costs that may accrue. N r — - : :; < - ` �- V cJ Name of Taxpayer ROBIN W & LESLEY I SHOUP r --lo C) CJ Z CJ r . C co Residence 3522 SEPTEMBER DR APT 4 CAMP HILL, PA 17011 -5060 - c F 7theday NT RELEASE INFORMATION For each assessment listed below, e of the lien is refiled by the date given in column (e), this notice shall, / � following such date, operate as a certificate of release as defined ` /© 5(a).0 301 8` Tax Period Da te of Last Day for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refiling of Assessment (a) (b) (c) (d) (e) (f) 1040 12/31/2009 XXX -XX -3646 05/24/2010 06/23/2020 4524.47 1040 12/31/2010 XXX -XX -3646 05/30/2011 06/29/2021 16750.50 1040 12/31/2011 XXX -XX -3646 06/04/2012 07/04/2022 10132.67 Place of Filing Prothonotary Cumberland County Total $ 31407.64 Carlisle, PA 17013 This notice was prepared and signed at DETROIT, MI , on this, the 03rd day of February 2014 Signature \ �� REVENUE OFFICER 22-06-1413 for LINDSEY O BOWLIN (717) 777 -9623 (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. 025X ) CAT. NO 60025X