HomeMy WebLinkAbout08-4422Form 668 (Y)(c)
(Rev. February 20041
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT
Lien Unit Phone: (800) EA #1
29-7650
457036608 Q~ _~~~~ _ I
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As provided by sectio 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a otice that taxes (including interest and penalties) ~t~Q.~ ~~
have been assessed a inst the following-named taxpayer. We have made
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 iC ~-~ .Z,3 7S I{
property belonging to this taxpayer for. the amount of these taxes, and
additional penalties, in Brest, and costs that may accrue. ;1 ~~ ~~~ fogl~ ~
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Name of Taxpayer HAR Y S FRY -~~, ,_ ; ~_
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Residence 124
W PORTLAND ST APT 18 ..liJ
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MEC
ICSBURG, PA 17055-6292 _
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IMPORTANT REL E INFORMATION: For each assessment listed below °~±
unless notice of the lien i ,
refiled by the date given in column (e), this notice shall, ~,~
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on the day following s ch date, operate as a certificate of release as defined
in IRC 63251a).
Tax Pe Date of Last Dayy for Unpaid Balance
Kind of Tax Endin Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
CIVP 03/31/ 003 XXX-XX-3749 02/20/2006 03/21/2016 539.34
CIVP 06/30/ 003 XXX-XX-3749 02/20/2006 03/21/2016 389.60
CIVP 09/30/ 003 XXX-XX-3749 02/13/2006 03/14/2016 1420.62
CIVP 12/31/ 003 XXX-XX-3749 02/13/2006 03/14/2016 2334.05
CIVP 03/31/ 004 XXX-XX-3749 02/20/2006 03/21/2016 3213.14
CIVP 06/30/ 004 XXX-XX-3749 02/20/2006 03/21/2016 1595.45
CIVP 09/30/ 004 XXX-XX-3749 02/13/2006 03/14/2016 1981.58
CIVP 12/31/ 004 XXX-XX-3749 02/20/2006 03/21/2016 2994.70
CIVP 03/31/ 005 XXX-XX-3749 02/20/2006 03/21/2016 5371.14
CIVP 06/30/ 005 XXX-XX-3749 02/13/2006 03/14/2016 2990.08
Place of Filing
Pr thonotary
C erland County Total $ 22829.70
Ca lisle, PA 17013
This notice was prepared and signed at DETROIT, MI on this
,
,
the 15th day of July 2008
Signature A Title
ACS 11-00-0000
for DEBRA K. HUR T (800) 829-7650
(NOTE: Certificate of o icer 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(n(c) (Rev. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X