HomeMy WebLinkAbout08-7053Form 668 (Y)(c)
(Rev. February 2004)
2447
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
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Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
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As provided by section 6321, 6322, and 6323 of the Internal Revenue ~~ ~ ~3ax.
Code, we are giving a notice that taxes (including interest and penalties)
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have been assessed against the following-named taxpayer. We have made
a demand for payment of this IiabHity, but it remains unpaid. Therefore,
there is a lien in favor of the united States on all property and rights to
property belonging to this taxpayer for the amou~rt of these taxes, and
addhional penalties, interest, and costs that may accrue. ~' N ~_,
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Name of Taxpayer JOHN D HARTMAN -~;;=s
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Residence 286 D SOUTH LOCUST POINT RD N
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MECHANICSBURG, PA 17055-9785 _ -' !~~
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, _
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unless notice of the lien is refiled by the date given in column (e), this notice shall, ~
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on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
Tax Period Date of Last Daar~rr for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Re8ling of Assessment
a) b c (d (e)
1040 12/31/2000 XXX-XX-1545 09/03/2007 10/03/2017 5210.15
1040 12/31/2001 XXX-XX-1545 09/03/2007 10/03/2017 7783.94
1040 12/31/2002 XXX-XX-1545 09/03/2007 10/03/2017 7405.99
1040 12/31/2003 XXX-XX-1545 09/03/2007 10/03/2017 6343.03
1040 12/31/2004 XXX-XX-1545 09/03/2007 10/03/2017 4669.86
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~ $ 31412.9 7
This notice was prepared and signed at DETROIT, MI , on this,
the 20th day of November 2008
Signature ~ ~ ~>'2T~~~ Title
ACS 11-00-0000
for DEBRA K. HURST (800) 829-7650
(N07'E: 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. 4091
Part 1 -Kept By Recording Of~iu Form 668(1f)(c) IRev. 2-2004)
CAT. NO 60025X