HomeMy WebLinkAbout14-6015 _........ ... _.........
11883
Department of the Treasury - Internal Revenue Service
Form boar (YNotice of Federal Tax Lien
{Rev.February 2004}04)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 122923414
As provided by section 6321, 6322, and 6323 of the Internal Revenue 4W� tom%_
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, c C=
there is a lien in favor of the United States on all property and rights to -03 x
property belonging to this taxpayer for the amount of these taxes, and r C ,-
additional penalties, interest, and costs that may accrue.
x
CD
Name of Taxpayer DAVID J THOMAS —{C�)
-QCD.
Residence 100 WALNUT ST p q y�
LEMOYNE, PA 17043-1640 =
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, o?/.� P�- C` /
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a). ,3fo-2/5-1
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
CIVP 09/30/2006 XXX-XX-4850 10/19/2009 11/18/2019 3308 . 32
CIVP 03/31/2007 XXX-XX-4850 10/19/2009 11/18/2019 8602 .49
CIVP 06/30/2007 XXX-XX-4850 10/19/2009 11/18/2019 7250 .69
CIVP 09/30/2007 XXX-XX-4850 10/26/2009 11/25/2019 7447 . 73
CIVP 12/31/2007 XXX-XX-4850 10/19/2009 11/18/2019 6699. 04
CIVP 03/31/2008 XXX-XX-4850 10/26/2009 11/25/2019 6827 . 61
CIVP 06/30/2008 XXX-XX-4850 10/19/2009 11/18/2019 12015 . 88
CIVP 09/30/2008 XXX-XX-4850 03/19/2012 04/18/2022 9174 .40
CIVP 12/31/2008 XXX-XX-4850 03/19/2012 04/18/2022 11215 . 96
CIVP 03/31/2009 XXX-XX-4850 03/19/2012 04/18/2022 8264 .63
CIVP 06/30/2009 XXX-XX-4850 03/19/2012 04/18/2022 7439 . 80
CIVP 12/31/2009 XXX-XX-4850 03/19/2012 04/18/2022 6718 .69
CIVP 03/31/2010 XXX-XX-4850 03/19/2012 04/18/2022 3669 . 70
Place of Filing
Prothonotary
Cumberland County Total $ 98634 . 94
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 02nd day of October 2014
Signature / Q_4sr' 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)
Farm 668( (Rev. 2-2004)
Pan CAT 1 -Kept By Recording Office
CAT, NO 60025X