HomeMy WebLinkAbout06-3323
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)( c) Notice of Federal Tax Lien
(Rev. February 2004) 11A. 0(, . 3~ aa FrL
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 flrJ.. fljl , IfU1>
Lien Unit Phone: (800) 913-6050 294376706
As provided by section 6321, 6322, and 6323 of the Internal Revenue U<. S(. I. I
Code, we are giving a notice that taxes (including Interest and penalties) ~J1"OcJ
have been assessed against the following-named taxpayer. We have made
a demand for payment of thb liability, but It remams unpaid. Therefore, (') ,...,
there b a lien In favor of the United States on all property and rights to C::) 0
C' C'::;l
property belonging to this taxpayer for the amount of these taxes, and ::c..~ u, "
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additional penalties, Interest, and costs that may accrue. , c.::: f-Tl:D
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Name of Taxpayer TROY A BEAM - -nm
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Residence _..
401 SHIPPENSBURG RD N :2.5rn
SHIPPENSBURG, PA 17257-8617 -,
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is reflled by the date given in column (e), this notice shall,
on the day following such date, operate as a certificate of release 8S defined
in IRe 6325(a).
Tax Period Date of Last Dra;.for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refl II' of Assessment
(a) (b) (c) (d) (e) <0
1040 12/31/1996 XXX-XX-2949 03/06/2006 04/05/2016 559808.17
1040 12/31/1997 XXX-XX-2949 03/06/2006 04/05/2016 638280.05
1040 12/31/1998 XXX-XX-2949 03/06/2006 04/05/2016 642967.28
Place of Filing
Prothonotary
Cumberland County Total $ 1841055.50
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
, on this,
the
31st day of May
2006
Signature
Title
REVENUE OFFICER
(717) 221-3490
22-09-4041
for DENNIS ZMUDZIN
(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)
Pan j - Kepi By RecordlIIr OffIce
Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X