HomeMy WebLinkAbout06-4337
1872
Department of the Treasury - Internal Revenue Service
FDrm 668 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) /11\.0(..4337 FIL-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #lS ~. f'1f ~/'Ifi
Lien Unit Phone: (800) 913-60S0 300513406
As provided by section 6321,6322, and 6323 of the Internal Revenue tit.. !,13/
Code, we are living a notice that taxes (Including Interest and penalties)
have been assessed against the followlna-named taxpayer. We have made (fl.. i flrtJ'f
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 rip" to r)
property belonldng to this taxpayer for the amount of these taxes, and .,--
..
additional penakles, Interest, and costs that may accrue. '~~-.. .-'
_..
_'.n_
Name of Taxpayer JANNIE UYEN LE , I"
,-",)
-
-'"
Residence 854 GAINSBOUGH PL KINSTON ONTARIO K7P6 1 .
- .
CANADA, . f".;.
f'.:--
IMPORTANT RELEASE INFORMATION: For each assessment listed below. . -.r;::
unless notice of the lien is retiled by the date given in column (e). this notice shall.
on the day following such date. operate as a certificata of release as defined
in IRe 6325(a).
Tax Period Date of Last :.tfor Unpaid Balance
Kind of Tax Ending Identlfylna Number Assessment It; g of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2003 XXX-XX-0291 08/22/2005 09/21/2015 53358.91
Place of Filing .
Prothonotary
Cumberland County Total $ 53358.91
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
. on this,
the
30th day of June
2006
for GAIL DEPCZYNSKI
Title
REVENUE OFFICER
(716) 961-5668
35-02-1405
Signature
(NOTE: Certificate of officer authorized by law to take ack.nowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Ru!' 71.466. 1971 - 2 C.B. 409)
Part 1 - Kept By RecordI"1I Office
Form 668(Y)(c) (Rev. 2.2004)
CAT. NO 6002SX
~
,
~
I.o.i
~
'"
~
"