HomeMy WebLinkAbout08-3136 6152
Department of the Treasury -Internal Revenue Service
Form bb8 (Y)(c) Notice of Federal Tax Lien
(Rev. February 2004) .
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Area: Seriai Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
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Lien Unit Phane: (800} 829-3903 443747008 d-.
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As provided by section b321, b322, and b323 of the Internal Revenue ~ ~ z ~~o
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made ~ ,~ ~ 916' p
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. ~
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Name of Taxpayer THOMAS R SERSEN n Ff ~=- ~ ~
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Residence 161 TORY CIR '~-~'-~
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ENOLA, PA 17025-2679 ;~`.., ~ li.--~`
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, ~ cn
unless notice of the lien is refiled by the date given in column (e), this notice shall, tv ~
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) (fl
1040 12/31/2003 XXX-XX-0537 07/16/2007 08/15/2017 212.96
1040 12/31/2004 XXX-XX-0537 08/27/2007 09/26/2017 11377.18
1040 12/31/2005 XXX-XX-0537 08/06/2007 09/05/2017 9961.82
1040 12/31/2006 XXX-XX-0537 06/04/2007 07/04/2017 3109.65
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total I$ 24661.61
This notice was prepared and signed at
the 08th day of May
DETROIT, MI
2008
on this,
Signature ~ ~ ~y~~ Title
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)
F 668(Y)(c) iRev 2-2004)
Part 1 -Kept BY Recording Office orm -