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HomeMy WebLinkAbout08-2540Form 668 (Y)(c) (Rev. February 2004) 52 Department of the Treasury -Internal Revenue Service Notice of Federal Tax Lien ~ ~ ~._ ~ ~ yo ~ T ~ Area: Serial Number SMALL BUSINESS/SELF EMPLOYED AREA #2 Lien Unit Phone: (800) 829-3903 437010108 As provided by section 6321, 6322, and 6323 of the Internal Revenue Code, we are giving a notice that taxes (including interest and penalties) have been assessed against the following-named taxpayer. We have made 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. of Taxpayer VIS Residence g6 WINCHESTER GDNS CARLISLE, PA 17013-4618 For Optional Use by Recording Office Gt .~ 1 tai ~„ ,Ibry9d-`~ n ~ o -~, ~ :: -r,; ~-;_; ;- rn~ -- -' :::> f ~ , ~ `~ r ' ' c rv - =~;. . ~ -- ~., ~ =-< 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 Day for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Reuling of Assessment (a) (b) (c) (d) (e) (f) 1040 12/31/1997 XXX-XX-0359 04/12/1999 05/12/2009 2369.69 1040 12/31/2006 XXX-XX-0359 05/28/2007 06/27/2017 7683.37 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total ~$ 10053.06 This notice was prepared and signed at the 10th day of April DETROIT, MI 2008 on this, Signature A 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) Form 668(ln(c) (Rev. 2-2004) Part 1 -Kept BY Recording Office CAT. NO 60025X