HomeMy WebLinkAbout06-4160
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(e) Notice of Federal Tax Lien
(Rev. February 2004) f1..<, 0(.. '1/(,,0 FTI-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 IlL P"'If '/'I-fJO
Lien Unit Phone: (BOO) B29-3903 302420706
As provided by secclon 632., 6322, and 6323 of the Internal Revenue cJe.,. P,? (,.
Code, we are giving a notice that taxes (Including Interest and penalties)
have been assessed against the followlnl'"named taxpayer. We have made I!.u- Jf'lI(,~1
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 belonsing to this taxpayer for the amount of these taxes, and
addlclonal penalcles, Interest, and costs that may accrue. 0 '"
c: ':.::;) (-:)
Name of Taxpayer TOM MULDER <:.:-:;>
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Residence r\, j";-;
55 E PENN ST c
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CARLISLE, PA 17013-2433 rJ
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, N :, -~ . I"',
unless notice of the lien is reflled by the date given in column (e). this notice shall, e::::.1
on the day following such date, operate as a certificate of release as defined --
in IRe 6325(a).
Tax Period Date of Last DM. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Ref! ng of Assessment
(a) (b) (e) (d) (e) (0
1040 12/31/1996 XXX-XX-2040 06/20/2005 07/20/2015 6798.25
1040 12/31/1997 XXX-XX-2040 06/06/2005 07/06/2015 4549.16
1040 12/31/1998 XXX-XX-2040 06/13/2005 07/13/2015 6796.49
1040 12/31/1999 XXX-XX-2040 06/06/2005 07/06/2015 9582.45
Place of Filing
Prothonotary
Cumberland County Total $ 27726.35
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
, on this,
13th day of July
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. Rul. 71-466. 1971 - 2 C.B. 409)
Part 1 . Kept By RecordID. 0Ifke
Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X