HomeMy WebLinkAbout08-5160Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien ~o . 6 ~- S'/ 6 D ~7~"~
Area: Serial Number
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650 465243608
As provided by section 632 t, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed a~ah,tst the follotiving-named taxpayer. We have made
a demand for payment of this liability, but h 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 amour of these taxes, and
additional penalties, interest, and costs that may accrue.
of Taxpayer JAMES F
Residence PO BOX 435
CARLISLE, PA 17013-0435
For Optional Use by Recording yrnce
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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 Daar~rr for
Kind of Tax Ending Identifying Number Assessment Reflling
(a) b (c (d (e
1040 12/31/2003 XXX-XX-6594 09/11/2006 10/11/2016
1040 12/31/2004 XXX-XX-6594 07/30/2007 08/29/2017
Place of Filing
9521.21
896.64
Prothonotary
Cumberland County
Carlisle, PA 17013
Total I$ 10417.85
This notice was prepared and signed at
the 19th day of August
DETROIT, MI
2008
on this,
Signature A ACS 11-00-0000
for DEBRA K. HURST (800) 829-7650
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(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal lax nen
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(1f)(c) (Rev. 2-2004)
Part t -Kept By Recotdlt~ 011Bce CAT. NO 60025X