HomeMy WebLinkAbout07-0041
11799
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien '/U; 07- L/ I Fr L ~
Form 668 (Y)(C)
(Rev. February 2004)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (BOO) 913-6050 333910906
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 WAYNE MILLER
For Optional Use by Recording Office
PeG (J-1/ & flI' / u-o
['J'L .3), '-l '-f
~ 1~1J91
Residence
5246 WINDSOR BLVD
MECHANICSBURG, PA 17055-3555
ril~ ~
c::::t ~
c:;:)
-..
<- ~.~
Z.[; :b-
zf" :z:
~.i:~. I ~~
r-: --:~ t..)
~c
2>. 1-) -0 ~:D
6("--, :x .,.:) fri
>c ~ a
~ N ~
01 -<
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 Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi ng of Assessment
(a) (b) (c) (d) (e) (0
941 12/31/2002 25-1621072 04/14/2003 05/14/2013 2026.37
941 06/30/2004 25-1621072 09/27/2004 10/27/2014 1191.36
941 12/31/2004 25-1621072 04/04/2005 05/04/2015 2611.95
941 03/31/2005 25-1621072 07/11/2005 08/10/2015 2247.15
941 09/30/2005 25-1621072 12/12/2005 01/11/2016 1033.09
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
9109.92
This notice was prepared and signed at
DETROIT, MI
, on this,
13th day of December
2006
the
Signature
Title
REVENUE OFFICER
(717) 221-3490
22-06-1407
for SEAN DUNLEAVY
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Ru!' 71-466, 1971 - 2 C.B. 409)
Part t - Kept By Recording OffIce
Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X