HomeMy WebLinkAbout08-5838Form 668 (Y)(c)
(Rev. February 20041
Department of the Treasury -Internal Revenue Service
Notice of Federal Tau Lien ,~~ ,~
Area: Serial Number
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650 476134208
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 liabilky, but k remains unpaid. Therefore,
there is a lien in favor of the Unked States on all property and rights to
property belonging to this taxpayer for the amount of these taxes, and
addkional penakks, htterest, and coats that may accrue.
ame of taxpayer
Residence 4 3 5 HERMAN AVE
LEMOYNE, PA 17043-1943
For Optional Use by R~
~a. '~.~ ~' 14. v-p
ck a s c. ~-~
~~S~~y~
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 L,ast_ Darr for
Kind of Tax Ending Identifying Number Assessment ng
1040 12/31/2002 XXX-XX-7699 12/19/2005 01/18/2016
1040 12/31/2006 XXX-XX-7699 05/28/2007 06/27/2017
1040 12/31/2007 XXX-XX-7699 05/26/2008 06/25/2018
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 7609.93
This notice was prepared and signed at
the 2 3rd day of September
Signature
for DEBRA K. HURST
Title
ACS
(800) 829-7650
11-00-0000
DETROIT, MI
4917.45
1385.46
1307.02
on this,
2008
'ta ~,-
n-! ,-
~yY
~-~ ._ .
,_
'=:; c_~
L
Office
N
O
-~r
0
-~; rn
:~ -`
x~ _ -.:
-:
~ ~ ~~
.. ~-~-i
rv
Unpaid Balance
of Assessment
(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)
Part 1 -Kept By Recordin8 Office CAT. NO 6tJ025X