HomeMy WebLinkAbout06-0861
1872
Form 668 (Y)(c)
Department of the Treasury' Internal Revenue Service
Notice of Federal Tax Lien
(Rev. February 2004)
For Optional Use by Recording Office
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 272152406
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
additional penalties, interest, and costs that may accrue.
Name of Taxpayer ROBERT A & JACQUELINE A WARRILOW
.,1, P1/ '/~<Jl)
Ul.. '{ f ,!
r2u.., /1 c/3 (;rC
Residence
363 STONEHEDGE LN
MECHANICSBURG, PA 17055-7009
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,
on the day following such date, operate as a certificate of release as defined
in IRe 6325{a),
r--,'
'::"',;'
";;:)
,-,",
C)
-n
-r"'J
rr~
G~';
e,.,)
'0
...J
:~;
f".-J
~
:=<
Kind of Tax
(a)
1040
1040
Tax Period
Ending
b)
12/31/2002
12/31/2003
Date of
Assessment
(d)
03/28/2005
03/28/2005
Last Day for
Refilmg
(e)
04/27/2015
04/27/2015
Unpaid Balance
of Assessment
(f)
9611,64
999.69
Identifying Number
(c)
XXX-XX-9288
XXX-XX-9288
Place of Filing
Prothonotary
CUmberland County
Carlisle, PA 17013
Total $
This notice was prepared and signed at
DETROIT, MI
the
02nd day of February
2006
Signature
Title
ACS
(800) 829-3903
tlll'~
for REGINA
10611,33
, on this,
22-00-0008
Part 1 - Kept By Recording Office
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Ru!. 71-466, 1971 ,2 C,B, 409)
Focm 668(Y)(c) IRev, 2,2004/
CA T, NO 60025X