HomeMy WebLinkAbout06-5784
1872
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax LieDnJl /J I. _ 67~ l/ F T L
Form 668 (Y>( c >
(Rev, February 2004)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 317458106
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 DAVID W OTTER
For Optional Use by Recording Office
fJd., iJ -70/ ! 1'1,00
O-J 11109
~ jY?J7J3
Residence
243 N MIDDLESEX RD
CARLISLE, PA 17013-8490
o
c
;:;~~~j
~:
;j.;-
-:" r
o
11
:r."
rnj=
-nm
- i) CfJ
':~o
:D- ,;.~ }j
C'.-j :l: ':::.. (")
;:'-nl
5i. 'f? ::::.1
--1 -~
-" 0::;:-,
- .-<::
Unpaid Balance
of Assessment
(0
4275.66
1003.15
607.51
973.09
r--.:>
=
<=
<:::r'
o
n
-t
1
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 DiiT. for
Kind of Tax Ending Identifying Number Assessment Refi ng
(a) (b) (c) (d) (e)
1040 12/31/1989 XXX-XX-1682 04/14/1997 05/14/2007
1040 12/31/1992 XXX-XX-1682 04/14/1997 05/14/2007
1040 12/31/1993 XXX-XX-1682 04/14/1997 05/14/2007
1040 12/31/2004 XXX-XX-1682 09/09/2005 10/09/2015
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
6859.41
This notice was prepared and signed at
DETROIT, MI
, on this,
the 19th day of september, 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 1 . Kept By Recording Office
Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X