Loading...
HomeMy WebLinkAbout08-1862Form 668 (Y)(c) (Rev. February 2004) 6152 Department of the Treasury -Internal Revenue Service Notice of Federal Tax Lien ~ ~ ~ ¢ , ~ ~~ 2. r" T~ Area: Serial Number For Optional Use by Recording Office WAGE & INVESTMENT AREA # 1 429116008 nd ~~ e ~ 9~ ~ r" Lien Unit Phone: (800) 829-7650 As provided by section 6321, 6322, and 6323 of the Internal Revenue Code, we are giving a notice that taxes (including interest and penalties) ~ ~ ~ a ~~ have been assessed against the following-named taxpayer. We have made `, z©G~ y a demand for payment of this liability, but it remains unpaid. Therefore, d~c~. there is a lien in favor of the United States on all property and rights to L ~ o property belonging to this taxpayer for the amount of these taxes, and -r~,W,~ additional penalties, interest, and costs that may accrue. ~'~'' Name of Taxpayer DERRON A HOOK `_ ~,. ,r,~ ' _ ~ rR= * ' 'C7 ~ ' ~ - - ,F' ~ Residence 2206 CEDAR RUN DR f • - -~ CAMP HILL, PA 17011-7466 ,~ ~,n 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 Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refiling of Assessment (a) (b) (c) (d) (e) (f) 1040 12/31/2002 XXX-XX-3597 07/24/2006 08/23/2016 6949.27 1040 12/31/2003 XXX-XX-3597 04/16/2007 05/16/2017 790.75 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total ~$ 7740.02 This notice was prepared and signed at the 12th day of March DETROIT, MI 2008 on this, Signature ~ i~ ~~y~~ 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. 71-466, 1971 - 2 C.B. 409) Form 668(1f0(c) (Rev. 2-2004) Part t -Kept By Recording Office CAT. NO 60025X