HomeMy WebLinkAbout08-5510Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
Len Unit P oneTT(800) 829-7650 471434008 ~8 '"' +~5~~
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties)
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have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, ~~( 2~~ 78
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
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nterest, and costs that may accrue.
Name of Taxpayer KEVIN W HEINBAUGH
Residence 75 BONNYBROOK RD LOT 24
CARLISLE, PA 17013-4287
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).
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Dayy for
Refiling Unpaid Balance
of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2000 XXX-XX-5874 11/21/2005 12/21/2015 13078.42
1040 12/31/2001 XXX-XX-5874 11/28/2005 12/28/2015 5188.35
1040 12/31/2006 XXX-XX-5874 09/10/2007 10/10/2017 5054.97
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 23321.74
This notice was prepared and signed at
DETROIT, MI
the 09th day of September 2008
on this,
Signature ~ y i~l,~~ Title
ACS 11-00-0000
for DEBRA K. HURST (800) 829-7650
~nv~c: ~ertiricaie or orricer 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(Y)(c) (Rev. 2-2004)
Part 1 -Kept By Recording Ofnce CAT. NO 60025X