HomeMy WebLinkAbout14-4982 11883
Department of the Treasury - Internal Revenue Service
Form 668 (MW{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 114564514 ��%, Jl �"jZ_,
As provided by section 6321, 6322, and 6323 of the Internal Revenue �7
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, r
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 PHILIP J HELMS CD`
�cx CD
Residence 2179 YALE AVE ZCD
CAMP HILL, PA 17011-5452 `
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, SZa ae, ,
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 Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2009 XXX-XX-3742 05/10/2010 06/09/2020
1040 12/31/2009 XXX-XX-3742 12/19/2011 01/18/2022 7570 .49
Place of Filing
Prothonotary
Cumberland County Total $ 7570 .49
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 13th day of August 2014
Signature Title
\ C-40-r' REVENUE OFFICER 22-06-2614
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 NO 025X )
CAT. NO 60025X