HomeMy WebLinkAbout06-3759
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)( c)
(Rev. February 2004)
Notice of Federal Tax Lien
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Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 298101406
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 LARRY W MILLER
For Optional Use by Recording Office
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24 RIVERVIEW DR.
ENOLA, PA 17025-2645
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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,
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
en
Tax Period Date of Last Dart/or
Kind of Tax Ending Identifying Number Assessment Refi g
a (b (c) (d) e
1040 12/31/2000 XXX-XX-3567 09/08/2003 10/08/2013
1040 12/31/2001 XXX-XX-3567 07/26/2004 08/25/2014
1040 12/31/2002 XXX-XX-3567 04/04/2005 05/04/2015
Unpaid Balance
of Assessment
200475.24
41840.19
439.24
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
242754.67
This notice was prepared and signed at
DETROIT, MI
, on this,
the
20th day of June
2006
Signature . fl.
for DAVID M. SHROYER
Title
REVENUE OFFICER
(717) 221-3490 x1320
22-06-1442
(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)
Part I - Kept By Recordlnl OfIIce
Form 668(Y)(c) IRev. 2-2004)
CAT. NO 60025X