HomeMy WebLinkAbout08-6241Form 668 (Y)(c)
(Rev. February 2004)
4804
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien .~,,, o ~ ~ ~ ~ ~ ,~ rL
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1 /J p~ ,t {q ~
Lien Unit Phone: (800) 829-7650 481134608 d-
As provided by section 6321, 6322, and 6323 of the Internal Revenue C~2. 1 1 z y ~
Code, we are giving a notice that taxes (including interest and penalties) ~ ~ i ~ ~ ys
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 Untied 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.
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Name of Taxpayer JASON R BERRY .~ ~~ .
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Residence 341 E GARFIELD ST ~~~:~; ~
SHIPPENSBURG, PA 17257-2003 :-~
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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 fast Dar~rr for UnpaW Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (~
1040 12/31/2006 XXX-XX-3854 06/04/2007 07/04/2017 8553.07
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 8553.07
This notice was prepared and signed at
DETROIT, MI
the 09th day of October 2008
on this,
Signature ~ A \Yti~~~ 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 - K t ffy Rewrdin Office Form 668(1f0(c) (Rev. 2-2004)
eP S CAT. NO 60025X