HomeMy WebLinkAbout14-3145 11883
Department of the Treasury - Internal Revenue Service
Form boar (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 100400214 _
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 -0:r -= -- -
additionalpenalties,penalties, interest, and costs that may accrue. rn, -;
Name of Taxpayer DENNIS W & CHRIS J NICKEL SR ter— ro
Residence 120 LOCUST WAY
CARLISLE, PA 17015-8808
IMPORTANT RELEASE INFORMATION: For each assessment listed below, S
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
in 1RC 6325(a).
3G��
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 12/31/2012 XXX-XX-2301 02/24/2014 03/25/2024 4595.21
Place of Filing
Prothonotary
Cumberland County Total $ 4595 .21
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI on this
the 15th day of May 2014
Signature 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) 1 Form 668(Y)(c) (Rev. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X