HomeMy WebLinkAbout08-2909Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien ~ ~~ g ~ 9 a 9 ~ TL
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 r ~~,
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Lien Unit Phone: (800) 913-6050 441387608 ~ `
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) d ~~~ 9 ~
have been assessed against the following-named taxpayer. We have made ~, ac
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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 ~ ~ r
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property belonging to this taxpayer for the amount of these taxes, and ~ ~~' ~ r`s
additional penakies, interest, and costs that may accrue. ~ ~ ~ ~~
Name of Taxpayer JEFFREY A RUDISILL ~>~ N
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Residence 159 BEETEM HOLLOW RD
NEWVILLE, PA 17241-9539
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 D for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refl~ng of Assessment
(a) b) (c) d (e)
1040 12/31/1995 XXX-XX-2282 04/11/2005 05/11/2015 1582.42
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total I$ 1582.42
This notice was prepared and signed at DETROIT, MI
the 28th day of April 2008
on this,
Signature ~ A ~Y~,~~ RtIEVENUE 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. 409) Form 668(1f)(c) (Rev. 2-2004)
Part 1 -Kept SY Recording Office CAT. NO 60025X