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HomeMy WebLinkAbout07-2903 Department of the Treasury -Internal Revenue Service Farm 668 (Y)(c) (Rev. February 2004- Notice of Federal Tax Lien ~ ~, ~_ a 90 3 ~ Tt- Area: Serial Number For Optional Use by Recording Office WAGE & INVESTMENT AREA #1 ~~ ~~ y~~ ~ Lien Unit Phone: (800) 829-7650 359526907 As provided by section 632 f, 6322, and 6323 of the Internal Revenue ~, ~L v r~ Code, we are giving a notice that taxes (including interest and penalties) 9 ~ 8b have been assessed against the following-named taxpayer. We have made ~ f 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 DECD & STAGY J BLOSSER =' © ~ n ~' ~ --( ~ ~ - - ` - Residence 7 3 0 HILLSIDE DR r -r, rr-Y ~~~ -- ~ ~..~ CARLISLE, PA 17013-3610 - = _-~.=? -- -~„ ,. - - w IMPORTANT RELEASE INFORMATION: For each assessment listed below, ~ -:_ = _l"~ unless notice of the lien is refiled by the date given in column (e), this notice shall, =- ~ 1-.,: on the day following such date, operate as a certificate of release as defined '~ ,,,._ in IRC 6325(a). Tax Period Date of Last Dayy for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refiling of Assessment (a) (b) (c) (d) (e) (f) 1040 12/31/2004 XXX-XX-6273 05/30/2005 06/29/2015 5250.93 Place of Filing Total ~$ 5250.93 Prothonotary Cumberland County Carlisle, PA 17013 This notice was prepared and signed at the 19th day of April DETROIT, MI 2007 on this, Signature ~ ~ ~Y~~l~ ACS 11-00-0000 for DEBRA K. HUR.ST (800) 829-7650 (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. 2-20041 CAT. NO 60025X