HomeMy WebLinkAbout07-3480Form 668 (Y)(c)
(Rev. February 2004)
7116
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien .,_
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 368961807
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.
e of Taxpayer
G & KATHY R CLARK
Residence 116 CUMBERLAND DR
CARLISLE, PA 17013-1010
IMPORTANT RELEASE INFORMATION: For each assessment fisted 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).
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Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (~
1040 12/31/2002 XXX-XX-5884 09/01/2003 10/01/2013 641.12
1040 12/31/2003 XXX-XX-5884 11/08/2004 12/08/2014 546.72
1040 12/31/2004 XXX-XX-5884 11/07/2005 12/07/2015
1040 12/31/2004 XXX-XX-5884 02/26/2007 03/28/2017 10338.84
1040 12/31/2005 XXX-XX-5884 02/26/2007 03/28/2017 13215.59
1040 12/31/2006 XXX-XX-5884 05/28/2007 06/27/2017 2829.05
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
For
~- 3YP0 FTL
~I Use by Recording Office
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C'JL ~~ 59
jy'yun 9
Total ($ 27571.32
This notice was prepared and signed at
the 05th day of June
DETROIT, MI
2007
on this,
Signature ~ A \Yti1~.~~~ Title
REVENUE OFFICER 22-06-1407
for SEAN DUNLEAVY (717) 777-9626
(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)
Part 1 -Kept By Recording Office CAT. NO 60025X