HomeMy WebLinkAbout08-6333Form 668 (Y)(c)
(Rev. February 2004)
4804
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien .~,~, , a 8- G 33 3 ~ ~~
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
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Lien Unit Phone: (800) 913-6050 482955008 "'
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As provided by section 6321, 6322, and 6323 of the Internal Revenue ch...z t. ~ i ~-
Code, we are ¢vin6 a notice that taxes (includh~ interest and pen ties) ~ a /4 3~ y
have been assessed a~nst the following-named taxpayer. We hire made
a demand for payment of thk liability, but k remains unpaid. Therefore,
there is a lien in favor of the untied States on aN property and rights to
property bebngin6 to this taxpayer for the amour of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer DONALD G & KATHY R CLARK JR. C Q o
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Residence 116 CUMBERLAND DR '- tv
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CARLISLE, PA 17013-1010 ~_~-~,
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IMPORTAi~IT RELEASE fNFORMATION: For each assessment listed below, 3~~ rv %~~,
unless notice of the lien is refiled by the date given in column le), this notice shall, ~ •'
on the day following such date, operate as a certificate of release as defined ~ ~ .,~
in IRC 13325(a).
Tax Period Date of Last for Unpaid Balance
Kind of Tax Endh~ Identifying Number Assessment Re of Assessment
a) (b c d e
1040 12/31/2004 XXX-XX-5884 11/07/2005 12/07/2015 7573.91
1040 12/31/2005 XXX-XX-5884 02/26/2007 03/28/2017 16700.59
1040 12/31/2006 XXX-XX-5884 05/28/2007 06/27/2017 3213.47
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 27487.97
This notice was prepared and signed at
the 15th day of October
DETROIT, MI
2008
on this,
Signature ~ A ~Ytii~~ 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) Form 668(lf7(t) (Rev. 2-2004)
Part ~ ' ~Pt ~ ~ 08ice CAT. NO 60025X