HomeMy WebLinkAbout08-2908Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien .tea ~,~ p ~ g o ~ F 7'L
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 n
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Lien Unit Phone: (800) 913-6050 441387508 ,
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As provided by section 6321, 6322, and 6323 of the Internal Revenue ~ ~~ » ,v
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made ~,, ,t v 9 ~ `~ 7
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
accrue
and costs that ma
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Name of Taxpayer JEFFREY A & PATRICIA A RUDISILL cn~
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Residence 159 BEETEM HOLLOW RD ~'' ~'' N `~
NEWVILLE, PA 17241-9539 ~ " ""(
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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 (e), this notice shall,
on the day following such date, operate as a certificate of release as defined
in IRC 13325(a).
Tax Period Date of Last Daayy for Ilnpald Balance
Kind of Tax Ending Identifying Number Assessment Reflling of Assessment
(a) b (c) (d e) (f)
1040 12/31/1999 XXX-XX-2282 04/18/2005 05/18/2015 2248.71
1040 12/31/2004 XXX-XX-2282 10/17/2005 11/16/2015 13999.57
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total I$ 16248.28
This notice was prepared and signed at DETROIT, MI
the 28th day of April 2008
on this,
Signature ~ A \>'Zla~~~C Title
REVENUE OFFICER 22-06-1442
for DAVID M. SHROYER (717) 777-9625 x1320
(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. 4091
Part 1 . ~t ~ Recording ~~ Form 668(ln(c) (Rev. 2-2004)
CAT. NO 60025X