HomeMy WebLinkAbout08-5331Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien ~, n ~_ s _~.3 / F ~L
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1 ~J , // t'~4, fJ~
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Lien Unit Phone: (800) 829-7650 468448508 .
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As provided by section 6321, 6322, and 6323 of the Internal Revenue G2 d 5~b~
Code, we are giving a notice that taxes (including interest and penalties) n ~~~~~~ y
have been assessed against the folloMring-named gayer. We have made /Gum
a demand for payment of this Nability, but it remains unpaid. Therefore,
there is a lien in favor of the United States on aN property and rights to
property belonging to this taxpayer for the amount of these taxes, and n ~-^J
addkional penakks, interest, and costs that may accrue. ..
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Name of Taxpayer CHARLES R BROWN _
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Residence 223 N 30TH ST
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CAMP HILL, PA 17011-2932 h- cm
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, rn
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unless notice of the lien is refiled by the date given in column le-, this notice shall,
on the day following such date, operate as a certificate of release as defined
in IRC f3325(a).
Tax Period Date of Last Daayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment RefH ing of Assessment
(a) (b) (c d) (e f)
1040 12/31/2000 XXX-XX-4297 10/31/2005 11/30/2015 2497.99
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 2497.99
This notice was prepared and signed at DETROIT, MI
the 28th day of August 2008
on this,
Signature ~ A ~/y~~~~ ACS 11-00-0000
for DEBRA K. HURST (800) 829-7650
(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, 1977 - 2 C.B. 409)
Part 1 -Kept BY Rswrdins Office Form 668(ln(c) (Rev. 2-20041
CAT. NO 60025X