HomeMy WebLinkAbout08-6548Form 668 (ln(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
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650
486698508 ~Jd ~~ ~79~ ~
As provided by section 6321, 6322, and 6323 of the Internal Revenue ~,- a c, ~a ~'
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made ~ ;~ ~` ryG y
a demand for payment of this liability, but it remah~s unpaid. Therefore, ,
there is a lien in favor of the united States on all property and rights to
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property belonging to this taxpayer for the amount of these taxes, and .
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addhional enaltiies, interest, and costs that
p may accrue.
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Name of Taxpayer PAUL D CHERRY - f _ ~=_,
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Residence
906 GETTYSBURG PIKE t =
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MECHANICSBURG, PA 17055-5325 _
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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 Last Darr for unpaid Balance
Kind of Tax Ending Identifying Number Assessment Raffling of Assessment
a) (b (c) d e
1040 12/3.1/2000. . XXX-XX-9504 05/28/2007 06/27/2017 617.59
1040 12/31/2003 XXX-XX-9504 08/06/2007 09/05/2017 1405.30
1040 12/31/2004 XXX-XX-9504 05/28/2007 06/27/2017 3403.89
Place of Filing
Total ~ $ 5426.78
`Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
the 28th day of .October
DETROIT, MI
2008
on this,
Signature ~ H ~/y~~ 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 t - Kit By Recordi~ Olfke Form 668(1f)(c) (Rev. 2-2004)
CAT. NO 60025X