HomeMy WebLinkAbout07-5597Fornat 668 (Yxc)
(Rev. February 2004)
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien .~ o ~_ ,~~ g ~ r r~
Area• Serial Number For Optional Use by Recordin Office
SMALL BUSINESS/SELF' EMPLOYED RREA #2 ~ n „ tip, ~
Lien Unit Phone: (800) 829-3903 391218007 rc~, /~
As provided by section 6321, 6322, and 6323 of the internal Revenue ~ ~~3A,,
Code, we are giving a mice that taxes (includh>tg interest and penakies)
have been assessed a~ainat the following-named taxpayer. We have made ~ /f F ~"Sp
a demand for payment of this Reality, bat it remains unpaid. Therefore,
there is a Ren in favor of the United States on nit property and rights to
property belonghltg 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 BERNARD R WERWIE
BERNARDS SNACK BAR ~ t~..
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Residence 3 2 POPLAR. ST ~,-, _
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CAMP HILL, PA 17070-2039 r t
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iMMRTANT RELEASE tNFORi±r(ATtON: 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 B325(a).
Tax Period Date of last Day for unpaid Balance
Kind of Tax Endh~g identifying Number Asses~nent R of Assmsment
a b c d e
CIVP 12/31/1998 25-1115323 12/03/2001 01/02/2012 5795.07
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 5795.07
This notice was prepared and signed at
DETROIT, MI
the 13th day of September 2007
on this,
Signature ~ y ~/y~~,Q~ ACS 22-00-0008
for REGINA OWENS (800) 829-3903
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rui. 71-466, 1971 - 2 C.B. 4091
Part 1 -Kept iBy Reca~nE Oflke Form 668(ln(t) (Rev. 2-2004)
CAT. NO B0025X