HomeMy WebLinkAbout06-2589
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)( c) Notice of Federal Tax Lien
(Rev. F=ebruary 2004) 7I.c. 0 {,- .;2 :5'f'/ FTL
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 r1 {J4I t I'I./J?>
Lien Unit Phone: (800) 829-3903 285120706
As provided by section 6321, 6322, and 6323 or the Internal Revenue CIc.. 3tH?
Code, we are giving a notice that taxes (including interest and penalties) R.v
have been assessed against the following-named taxpayer. We have made /7756'l
a demand for payment or this 11ab1Jky, but it remains unpaid. Therefore,
there is a lien in favor or the United States on all property and rights (0
property belonging (0 this taxpayer for the amount of these taxes, and . ;R? .....
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additional penalties, Interest, and costs that may accrue. """
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Name of Taxpayer PAUL KULGAVIN 0; ~ :r~
(1'
2:J::: -< nt
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en '
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Residence 420 N 21ST ST ~c~< ~-)
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CAMP HILL, PA 17011-2201 >.C> 3:
C N
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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, Co,) -<
on the day foUowing such date, operate as a certificate of release as defined
in IRC 6325(a).
Tax Period Date of Last Di'If. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Ref1 ng or Assessment
(a) (b) Cc) Cd) Ce) (I)
1040 12/31/2003 XXX-XX-9367 05/31/2004 06/30/2014 6612.96
1040 12/31/2004 XXX-XX-9367 05/30/2005 06/29/2015 21653.14
Place of Filing
Prothonotary
Cumberland County Total $ 28266.10
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
, on this,
18th day of April
2006
the
Signature
Title
ACS
(800) 829-3903
22-00-0008
for REGINA OWENS
(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,8. 409)
Pal'( I - Kept By Recordln.. OffIce
Form 668(Y)(c) tRev. 2-2004)
CAT. NO 60025X