HomeMy WebLinkAbout08-4602 6152
Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c) Notice Of Federal Tax Lien
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(Rev. February 2004) ~ij_ , a ~- l~lG O~ ~7
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Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
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Lien Un
t Phone: (800) 913-6050 458434808 ~
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As provided by section 6321, 6322, and 6323 of the Internal Revenue ~ ~ ~ c, ~ p
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the foilovring-named taxpayer. We have made ~,~,,, d/-? ~/y
a demand for payment of this liability, but it remains unpaid. Therefore,
there is a lien in favor of the United States on ail property and rights to c-~ ~;
properly belonging to this taxpayer for the amount of these taxes, and t= ~ a
additional penalties, interest, and costs that may accrue. ~~' r~" ~ ~ -
Name of Taxpayer KENNETH R ROUSH ~"' -n
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Residence 14 PARADISE DR 4
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CARLISLE, PA 17015-9725 ---,
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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 6325(a).
Tax Period Date of Last D for Unpaid Balance.
Kind of Tax Ending Identifying Number Assessment Refi~g of Assessment
(a) b (c d) (e) (f)
1040 12/31/2007 XXX-XX-9812 05/26/2008 06/25/2018 ~ 29336.51
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 2 9 3 3 6.51
This notice was prepared and signed at DETROIT, MI
the 22nd day of July 2008
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Signature
for JEFFREY~WHITE
Title
REVENUE OFFICER 22-06-1450
(717) 777-9623 x1300
on this,
(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(ln(c) (Rev. 2-20041
Part 1 -Kept sY Recording Office CAT. NO 60025X