HomeMy WebLinkAbout06-5769
1872
Department of the Treasury - Internal Revenue Service
form 668 (Y)(c)
Notice of Federal Tax Lien
no.OL. 51 {,? f: T 1--
(Rev. February(2004) .
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 314475706
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 ROBERT L WHITEBREAD
For Optional Use by Recording Office
Ii, 1<11 "({,V\)
tk.- /1/39
ev. If?; "}J'J-
Residence
160 LAMONT ST
NEW CUMBERLND, PA 17070-2474
() ".:I
= 0
c-:- c;:::> "
~~ 0-'
OT) ......- 0 :r!"
',.J'
fT! \J
-7 -.j fll ;=
~
<' , ;~9
C./) I
N
~ (-. -:3(.1.')
'. -r' cr,
-0
i == ~:-;j6
~~- w) oln
L --1
--f CJ1 ?Xl
-~
" w -<
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).
Tax: Period Date of Last Da.r. for
Kind of Tax: Ending Identifying Number Assessment Refi ng
(a) (b) (c) (d) (e)
6721 12/31/2001 23-2626545 11/22/2004 12/22/2014
941 09/30/2004 23-2626545 03/07/2005 04/06/2015
941 12/31/2004 23-2626545 03/28/2005 04/27/2015
941 03/31/2005 23-2626545 07/17/2006 08/16/2016
941 06/30/2005 23-2626545 06/19/2006 07/19/2016
941 09/30/2005 23-2626545 07/17/2006 08/16/2016
941 12/31/2005 23-2626545 04/10/2006 05/10/2016
941 03/31/2006 23-2626545 07/10/2006 08/09/2016
Unpaid Balance
of Assessment
(f)
82.85
1707.79
3208.02
2085.19
5494.29
5942.12
4237.50
4189.86
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
26947.62
This notice was prepared and signed at
DETROIT, MI
, on this,
01st day of
September 2006
,
the
Signature
Title
REVENUE OFFICER
(717) 221-3490 x1320
22-06-1442
for DAVID M. SHROYER
(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 Recording Office
Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X