HomeMy WebLinkAbout08-7049Form 668 (Y)(c)
(Rev. February 2004)
2447
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien .~ ~ e ~. ~o y Q ~T-L
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 n
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Lien Unit Phone: (800) 829-3903 495047608 ~
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As provided by section 6321, 6322, and 6323 of the Internal Revenue ~ ,~ ~ 9~3
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made ~~, ,~ ~ ~~ g ~ o
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 n ~
property belonging to this taxpayer for the amount of these taxes, and
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additional penalties, interest, and costs that may accrue. -~ • t=~'° ~
Name of Taxpayer JEREMY W & DOREEN M HELM - -
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Residence 3520 BEECH RUN LN 1
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MECHANICSBURG, PA 17050-2206 - Ra Y:
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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 Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (~
1040 12/31/2006 XXX-XX-3457 09/01/2008 10/01/2018 24740.44
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 24740.44
This notice was prepared and signed at
DETROIT, MI
the 18th day of November 2008
on this,
Signature ~ A ~Y~~ Title
ACS 22-00-0008
for MICHAEL W. COX (800) 829-3903
(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 -Kept BY Recording Office Form 668(ln(c) IRev. 2-2004)
CAT. NO 60025X