HomeMy WebLinkAbout08-2594Form 668 (Y)(c)
(Rev. February 2004)
6152
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
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Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
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As provided by section 6321, 6322, and 6323 of the Internal Revenue
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Code, we are giving a notice that taxes (including interest and penalties) . ~' t
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have been assessed against the following-named taxpayer. We have made ~ ~_ - ~
a demand for payment of this liability, but it remains unpaid. Therefore, . =E; ~!
there is a lien in favor of the United States on all property and rights to ~
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property belonging to this taxpayer for the amount of these taxes, and r
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additional penalties, interest, and costs that may accrue. i - -
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Name of Taxpayer RICHARD R KITZMILLER '~~: < ~ ~~~
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Residence
1051 BRANDY AVE ~
LEMOYNE, PA 17043-1455
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 12/31/2003 XXX-XX-1556 12/04/2006 01/03/2017 5664.77
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 5664.77
This notice was prepared and signed at
DETROIT, MI
the 15th day of April 2008
on this,
Signature ~ i~ \>'~2~~~ 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 1 -Kept BY Recording Office Form 668(lf~(c) (Rev. 2-2004)
CAT. NO 60025X