HomeMy WebLinkAbout08-1078Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 2004) Notice Of Federal Tax Lien
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Area: Serial Number For Optional Use by Reco ding Office
WAGE & INVESTMENT AREA # 1
Lien Unit Phone: (800) 829-7650
420783108 ~~ ~~ ~ / ~ Ua
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties) ~ ~ o ~ ~ ~
have been assessed against the following-named taxpayer. We have made ~~, -~ ~ Sb
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 n
property belonging to this taxpayer for the amount of these taxes, and ` ~ ~ ~
additional penalties, interest, and costs that may accrue. ~ r~~
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Name of Taxpayer HAROLD A & SHERRY SCHROY ~ ~
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Residence 7 LISMORE PL ~ ,,c~~
MECHANICSBURG, PA 17050-8247 y ~'~ ~~
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IMPORTANT RELEASE INFORMATION: 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 6325(a).
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Dayy for
Refiling Unpaid
of Arse Balance
sment
(a) (b) (c) (d) (e) ~
1040 12/31/2000 XXX-XX-8480 09/15/2003 10/15/2013 87.69
1040 12/31/2005 XXX-XX-8.480 05/22/2006 06/21/2016 2997.45
Place of Filing
Prothonotary
Cumberland County Total $ 085.14
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 08th day of February 2008
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 Federa Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(ln(c) (Rev. 2-2004)
Part 1 -Kept By Recording Office CAT. 0 60025X