HomeMy WebLinkAbout14-1746 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 989765514
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 ( _T
property belonging to this taxpayer for the amount of these taxes, and sin � r
additional penalties, interest, and costs that may accrue.
Name of Taxpayer PAUL OBRIEN t
;: �=
CD
Residence 1032 W FOXCROFT DR rte
CAMP HILL, PA 17011 -1235
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, gl "� lid G- l
on the day following such date, operate as a certificate of release as defined �?
in IRC 6325(a).
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 -9349 05/30/2011 06/29/2021 6181.48
1040 12/31/2011 XXX -XX -9349 06/11/2012 07/11/2022 6739.75
1040 12/31/2012 XXX -XX -9349 05/27/2013 06/26/2023 7479.45
Place of Filing
Prothonotary
Cumberland County Total $ 20400.68
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 17th day of March 2014
Signature Title
ACS SBSE 22 -00 -0001
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)
Part 1 - Kept By Recording Office Form 668(Y)(c) (Rev. 2 -2004)
CAT. NO 60025X