HomeMy WebLinkAbout08-0037Form 668 (Y)(c)
(Rev. February 2004)
615
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien .~ ~ ~ ~ ,~ ~ ~.~
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903
411254007 ~~ ~~ r !~ G,.a
As provided by section 6321, 6322, and 6323 of the Internal Revenue ~ ~ q y > ~
Code, we are ghring a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made Q
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1 °.2430
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. _cn_- ~ a
Name of Taxpayer THERESA M DEVER-GORKA t~r,~~. ~
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Residence 5332 OXFORD DR APT 103 .-
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MECHANICSBURG, PA 17055-4434 ~=~,-'~~ ~
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, W~
unless notice of the lien is refiled by the date given in column (el, this notice shall,
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Dar~rr for
Refiling Unpaid Balance
of Assessment
(a) (b) (c) d) (e) (fl
1040 12/31/1997 XXX-XX-8574 11/16/1998 12/16/2008
1040 12/31/1998 XXX-XX-8574 11/22/1999 12/22/2009 2607.04
1040 12/31/2002 XXX-XX-8574 11/24/2003 12/24/2013 1885.12
1040 12/31/2003 XXX-XX-8574 05/02/2005 06/01/2015 2994.59
1040 12/31/2004 XXX-XX-8574 05/09/2005 06/08/2015 549.87
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 8036.62
This notice was prepared and signed at DETROIT, MI
the 21st day of December 2007
on this,
Signature ~ i~ ~~y~f~1,~ - 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. Rul. 71-466, 1971 - 2 C.B. 409)
Part 1 -Kept By Recording Office Form 668(lf~(c) iRev. 2-2004)
CAT. NO 60025X