HomeMy WebLinkAbout07-3099Form 668 (Y)(c)
IRev. February 2004)
4251
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien y~, o~_ -rn gq E T~
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650
364546307
1'd-p~ r~~'UO
As provided by section 6321, 6322, and 6323 of the Internal Revenue ~, ~ ~s"9
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made l~ ~ 93~gy
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. ,
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Name of Taxpayer JEREMY T MAHER -
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Residence 4 8 0 0 CHARLES RD APT F _ n", -
MECHANICSBURG, PA 17050-3085 °~~ ~'t';
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, ~ ~
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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).
Ki
d
f T Tax Period
E
di
Id
if
i
N
b Date of Last Day for lJnpaid Bjalance
n
o
ax n
ng ent
y
ng
um
er Assessment Refi ng of Ass e ment
(a) (b) (c) (d) (e)
1040. 12/31/2001 XXX-XX-8758 04/17/2006 05/17/2016 6227.58
I
I
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 6227.58
This notice was prepared and signed at DETROIT, MI
the 11th day of May 2007
on this,
Signature ~ A ~Y~2~~~ Title
ACS 11-'~00-0000
for DEBRA K. HURST (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) Form 668(Y)(c) IRev. 2-2004)
Part t -Kept By Recording Office CAT. NO 60025X