HomeMy WebLinkAbout08-5387Form 668 (Y)(c)
(Rev. February 20041
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien ~~ og_ ~ 3 g ~ FTL
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1 D~ ~, ya g ~!~ (~
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Lien Unit Phone: (800) 829-7650 469434008 ?
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As provided by section 6321, 6322, and 6323 of the Internal Revenue Ck. ~ ~ 8 d ~
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made ~, ,? ~ ya ~5
a demand for payment of this liability, but it remains unpaid. Therefore, r~ N
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there is a lien in favor of the United States on all property and rights to
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property belonging to this taxpayer for the amount of these taxes, and _
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additional
penalties, interest, and costs that may accrue. -~' ri' ~-='
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Name of Taxpayer KEITH M GETTY 5 ~v
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Residence
19 N 24TH ST
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CAMP HILL, PA 17011-3601 ~-'
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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 Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2003 XXX-XX-8710 08/06/2007 09/05/2017 8314.45
1040 12/31/2004 XXX-XX-8710 08/06/2007 09/05/2017 4262.22
1040 12/31/2006 XXX-XX-8710 12/17/2007 01/16/2018 1278.99
CIVP 03/31/2003 XXX-XX-8710 09/19/2005 10/19/2015 1842.00
CIVP 06/30/2003 XXX-XX-8710 09/19/2005 10/19/2015 5721.24
CIVP 09/30/2003 XXX-XX-8710 09/19/2005 10/19/2015 6041.56
CIVP 06/30/2004 XXX-XX-8710 09/19/2005 10/19/2015 2892.23
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 30352.69
This notice was prepared and signed at
DETROIT, MI
the 02nd day of September 2008
on this,
Signature ~ A ~Yy~~ Title
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, 1971 - 2 C.B. 409)
Part 1 -Kept sY Recording Office Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X