HomeMy WebLinkAbout14-4532 11883
Department of the Treasury - Internal Revenue Service
For 66ar (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 111024114 /
As provided by section 6321, 6322, and 6323 of the Internal Revenue � r y7�oZT
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 nr.41 `
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue. rrnC0 x�• ; ��'
Name of Taxpayer MATTHEW S GAMBER Z G)
cn I 8
Residence 105 N 17TH ST XPC") ZX = ,
CAMP HILL, PA 17011-3909 =CD 's-r,
7" -97
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, j
n the day following such date, operate as a certificate of release as defined[ion 1RC 6325(a). yh 30 �
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) M
1040 12/31/2012 XXX-XX-2151 06/16/2014 07/16/2024 34144 .72
Place of Filing
Prothonotary
Cumberland County Total $ 34144 .72
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 23rd day of July 2014.
Signature REVENUE OFFICER 22-06-2624
for JAKOB A 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, 1979 -2 C.S. 409)
AT
04)
Part 1 - Kept By Recording Office Form 668( C {Rev. 2 20
CAT. NO 60025XX