HomeMy WebLinkAbout08-7541~ n rr ~
v + Department ofj the Treasury -Internal Revenue Service
Form 668 (Y)(c) NOtic Of Federal Tax Lien
IRev. February 2004)
Area: erial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650
502638608
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As provkled by section 6321, 6322, and 632 of the Internal Revenue d
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Code, we are ghring a notice that taxes (includ interest and penakies) 9
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have been assessed against the following-nam taxpayer. We have made
a demand for payment of this liability, but it r mains unpaid. Therefore, (~ /$"S~
there is a lien in favor of the United States on 11 property and rights to
property belonging to this taxpayer for the a oust of these taxes, and ;;~~ -~f-~ a 1 ~
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additional penakies, i~erest, and costs that
accrue. j
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Name of Taxpayer WILLIAM E SR & DONNA J SHRADER ~ ~ ~'
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Residence 2 02 S FAYETTE ST APT
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SHIPPENSBURG, PA 172 7-1752 ._.. `}C~,
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IMPORTANT RELEASE 11~IFORMATION: For a ch 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 certi icate of release as defined
in IRC 63251a).
Kind of Tax Tax Period
Ending
Identifying Numb~
r Date of
Assessment Last D yy for
R~ling unpaid Balance
of Assessme~
(a) (b c ~ d) ~ (fl
1040 12/31/2003 XXX-XX-9893~~ 05/31/2004 06/30/2014 2891.98
1040 12/31/2004 XXX-XX-9893 05/30/2005 06/29/2015 2022.64
1040 12/31/2005 XXX-XX-9893 05/29/2006 06/28/2016 2080.41
1040 12/31/2006 XXX-XX-9893 07/23/2007 08/22/2017
1040 12/31/2006 XXX-XX-9893
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~i 09/29/2008 10/29/2018 2547.01
Place of Filing
Prothonotary
Cumberland County Total $ 9542.04
Carlisle, PA 17013,
This notice was prepared and signed at ETROIT MI
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on this
,
,
the 18th day of December 2008
Signature A Title
r- ACS 11-00-0000
1VL LP~Dl.CLi A. nuiC.71 ~ ~ ~tSUU) 2SLy--/b5U
(NOTE: Certificate of officer authorized by law to take akknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) r, Form 668(1f7(c) IRev. 2-2004)
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