HomeMy WebLinkAbout07-7494Form 668 (Y)(c)
(Rev. February 2004)
4
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
i
h
407570807 ~r
0 [ ~' /y~r-y ~~
one: (800) 829-7650
Lien Un
t P
As provided by section 6321, 6322, and 6323 of the Internal Revenue e K~ .~L~ '~~ ~ ~~
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made ~~} oZ6 ~ ~~
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. r..,,
Name of Taxpayer ANN BARR ~ °
Residence
6996 WERTZVILLE RD ~
.f~- ~
MECHANICSBURG, PA 17050-1540 ~'~~'
T .~
~
7
. _
~ d~
~~~
`
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
this notice shall
unless notice of the lien is refiled by the date given in column (e) C
~ -•-~
.~-
,
,
on the day following such date, operate as a certificate of release as defined cz>,
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)
CIVP 06/30/2004 XXX-XX-7428 11/20/2006 12/20/2016 898.63
CIVP 09/30/2004 XXX-XX-7428 11/20/2006 12/20/2016 2611.15
CIVP 12/31/2004 XXX-XX-7428 11/20/2006 12/20/2016 2364.29
CIVP 03/31/2005 XXX-XX-7428 11/20/2006 12/20/2016 2287.77
CIVP 06/30/2005 XXX-XX-7428 11/20/2006 12/20/2016 2873.94
CIVP 09/30/2005 XXX-XX-7428 11/20/2006 12/20/2016 3331.10
CIVP 12/31/2005 XXX-XX-7428 11/20/2006 12/20/2016 2840.72
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 17207.60
This notice was prepared and signed at
DETROIT, MI
the 05th day of December 2007
on this,
Signature ~ A 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. 77-466, 1971 - 2 C.B. 409)
Part 1 -Kept By Recording Office Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X