HomeMy WebLinkAbout08-5388Form 668 (Y)(c)
(Rev. February 20041
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien ,~ ~ _
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 469443308
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against 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
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer WAYNE A KLAWITTER & KAREN L BAKER
Residence 1903 ROXBURY CT
MECHANICSBURG, PA 17055-7023
For Optional Use by Recording Office
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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 (e1, 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
Kind of Tax Ending Identifying Number Assessment Refiling
(a) (b) (c) (d) (e)
1040 I12/31/2005I XXX-XX-8704 I08/27/2007I 09/26/2017
1040 12/31/2006 XXX-XX-8704 11/05/2007 12/05/2017
Place of Filing
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Unpaid Balance
of Assessment
12476.07
35571.11
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 48047.18
This notice was prepared and signed at
DETROIT, MI
the 02nd day of September 2008
on this,
Signature A ACS
22-00-0008
for MICHAEL W. COX (800) 829-3903
(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. 2-2004)
PaR 1 -Kept sY RecordinE Office CAT. NO 60025X