HomeMy WebLinkAbout08-5511Form 668 (Y)(c)
IRev. February 2004)
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1 ~g ~ S's~~ ~`~
Lien Unit Phone: (800) 829-7650 471453308 nn
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As provided by section 6321, 6322, and 6323 of the Interna /Q. ~
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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 eK' •
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 2~'" ~ ~ Z! S')'~_
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer ERNEST R JOHNSON
Residence 447 LEWISBERRY RD APT D
NEW CUMBRLAND, PA 17070
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(al.
Tax Period Date of Last Dayy for unpaid Balance
Kind of Tax Ending Identifying Number Assessment Re filing of Assessme~rt
(a) (b) (c) (d) (e) (~
1040 12/31/2005 XXX-XX-4660 07/28/2008 08/27/2018 100559.29
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 100559.29
This notice was prepared and signed at
DETROIT, MI
the 09th 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 fay Recording Office Form 668(Y)(c) (Rev. 2-20041
CAT. NO 60025X