HomeMy WebLinkAbout08-2736Form 668 (Y)(c)
(Rev. February 2004)
6152
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien .~~ o~ ~~~` F r~.
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #5
Lien Unit Phone: (800) 913-6050
439350508
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As provided by section 6321, 6322, and 63"23 of the Internal Revenue ~ ~ ~o~ ~
Code, we are giving a notice that taxes (including interest and penakies)
have been assessed agahllst the following-named taxpayer. We have made ~~ 1v ~'a Q ~
a demand for payment of this liabilhy, but h remains unpaid. Therefore, ~ ,~,
there is a lien in favor of the linked 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. , rn
_ _ .:,
.
Name of Taxpayer WALTER D . WEVODAU ~-' - a
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Residence
5683 CREEKVIEW RD.
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MECHANICSBURG, PA 17050 ~ rv
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column le), 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 Daayy for Unpaid Balance
Kind of Tax EndMg Identifying Number Assessment Reflli ng of Assessment
(a) b) (c) d (e)
1040 12/31/2004 XXX-XX-4870 05/30/2005 06/29/2015 1142.03
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
__ _
Total ~ $ 1142.03
This notice was prepared and signed at
the 17th day of April
DETROIT, MI
2008
on this,
Signature ~ A ~yy~~ 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)
Part 1 -Kept fiy Recording Office Form 668(ln(c) (Rev. 2-2004)
CAT. NO 60025X