HomeMy WebLinkAbout07-0040
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Department of the Treasury - Internal Revenue Service
Form 668 (Y){c)
Notice of Federal Tax Lien
/lu. 0 7- '10 F i l-
(Rev. February 2004)
For Optional Use by Recording Office
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Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 333910806
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 BERRIOS
Residence
411 HUMMEL AVE APT 1
LEMOYNE, PA 17043-1952
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 IRe 6325(a).
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Tax: Period Date of Last Da.r. for Unpaid Balance
Kind of Tax: Ending Identifying Number Assessment Refilng of Assessment
(a) (b) (c) (d) (e) (0
1040 12/31/2000 XXX-XX-8763 05/16/2005 06/15/2015 9389.78
1040 12/31/2001 XXX-XX-8763 08/07/2006 09/06/2016 8659.41
1040 12/31/2002 XXX-XX-8763 07/03/2006 08/02/2016 7594.53
1040 12/31/2003 XXX-XX-8763 07/03/2006 08/02/2016 4312.01
1040 12/31/2004 XXX-XX-8763 07/17/2006 08/16/2016 6637.68
1040 12/31/2005 XXX-XX-8763 07/17/2006 08/16/2016 4262.79
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
This notice was prepared and signed at
DETROIT, MI
the
13 th day of December
2006
Signature
Title
REVENUE OFFICER
(717) 221-3490
for SEAN DUNLEAVY
40856.20
, on this,
22-06-1407
Pan 1 - Kept By Recording Office
(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)
Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X