HomeMy WebLinkAbout06-4515
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax: Lien
(Rev. February 2004) ft..t,. 0(,. Ll-S' IS' FTt...
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 I1:<j)--'II t'/'UJD
Lien Unit Phone: (800) 829-3903 305481906
As provlcled by section 632', 6322, and 6323 of the Internal Revenue Oc 10/;1.>
Code, we are giving a notice that taxes (including Interest and penakles) R~/f'/33()
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 beIontdng to this taxpayer for the amount of these taxes, and ~ .....'
addklonal penakles, Interest, and costs that may accrue. c::o ~
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en
Name of Taxpayer DON L CASEY ;:Rcn >- ~
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Residence 1471 PINE RD :-<:t~,
CARLISLE, PA 17013 -7923 )"c .." ~:tl
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IMPORTANT RELEASE "",'ORMAnON: For each assessment listed below, :< (Jl ~
unless notice of the lien is refiled by the date given in column (e), this notice shall, 0)
on the day following such date, operate as a certificate of release as defined
in IRe 6325(a).
Tax PerIocI Date of Las~~r Unpaid Balance
Kind of Tax Ending Identifying Number Assessment of Assessment
la) lb) - (c) ld) (e) to
1040 12/31/2004 XXX-XX-9989 09/05/2005 10/05/2015 5633.51
Place of Filing
Prothonotary
Cumberland County Total $ 5633.51
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
, on this,
the
27th day of July
2006
for REGINA OWENS
Title
ACS
(800) 829-3903
22-00-0008
Signature
(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 I - Kept By Recordl..,. OBI",
Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 6OO25X