HomeMy WebLinkAbout08-0934Form 668 (Y)(c)
(Rev. February 20041
15
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien ~ a ~, 9 3 ~ ~ T L
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 Q'~~,~~
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Lien Unit Phone: (800) 829-3903 419221308 / ~
As provided by section 6321, 6322, and 6323 of the Internal Revenue C~ ~ ~ ~ ~ ~
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made ~ ~ o y ~ ~ z,
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 ~ a
additional penalties, interest, and costs that may accrue. -~ a,.:: -~ --r
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Name of Taxpayer LORI B MORRIS `-.~ ca ~`~~
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Residence 5 HAMILTON RD ,~ ~- -j ~z?~j
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BOILING SPRGS, PA 17007-9761 ~= t..,~ ~'~
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IMPORTANT RELEASE INFORMATION: For each assessment listed 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).
Tax Period Date of Last Dayy for lln~aid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (~
1040 12/31/2000 XXX-XX-5158 02/03/2003 03/05/2013 240.04
1040 12/31/2001 XXX-XX-5158 04/05/2004 05/05/2014 325.47
1040 12/31/2003 XXX-XX-5158 04/09/2007 05/09/2017 2805.72
1040 12/31/2004 XXX-XX-5158 04/09/2007 05/09/2017 3826.52
1040 12/31/2005 XXX-XX-5158 04/09/2007 05/09/2017 3136.25
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 10334.00
This notice was prepared and signed at
DETROIT, MI
the 01st day of February 2008
on this,
Signature ~ A ~Y~~ Title
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 t - Kep[ BY Recording Office Form 668(lt7(c) (Rev. 2-2004)
CAT. NO 60025X