HomeMy WebLinkAbout08-1567Form 668 (Y)(c)
(Rev. February 2004)
6152
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien .~„ ~ ~- ~s-~ 7 ~ r~
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT' AREA #1
Lien Unit Phone: (800) 829-7650
425346208
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As provided by section 632 t, 6322, and 6323 of the Internal Revenue c-k. ~ z `7~z~
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made ~,, ~ e~ 9 ~ ~
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, c a
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Name of Taxpayer GERALD B GRAYS v~ ~ ~
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Residence p0 BOX 4 9 0 ~ t`
CARLISLE, PA 17013-0490 ~ ~.;
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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, O ..,~
on the day following such date, operate as a certificate of release as defined
in IRC 63251a).
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)
1040 12/31/1999 XXX-XX-9317 04/03/2000 05/03/2010 291.13
1040 12/31/2000 XXX-XX-9317 04/16/2001 05/16/2011 418.86
1040 12/31/2002 XXX-XX-9317 04/30/2007 05/30/2017 3295.17
1040 12/31/2003 XXX-XX-9317 05/31/2004 06/30/2014 1064.69
1040 12/31/2004 XXX-XX-9317 05/30/2005 06/29/2015 1280.34
1040 12/31/2005 XXX-XX-9317 05/29/2006 06/28/2016 717.01
1040 12/31/2006 XXX-XX-9317 05/28/2007 06/27/2017 1825.33
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~ $ 8892.53
This notice was prepared and signed at
the 28th. day of February
DETROIT, MI
2008
on this,
Signature ~ h' i/~~~ ACS 11-00-0000
for DEBRA K. HURST (800) 829-7650
(NOTE: Certificate of ofticer 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) Form 668(Y)(c) (Rev. 2-2004)
Part 1 -Kept BY Recording Office CAT. NO 60025X