HomeMy WebLinkAbout08-7544 ~~ ~ ~ Department of tf ~e Treasury -Internal Revenue Service
Form 668 {Y)(c)
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deral Tax Lien
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(Rev. February 20041 ce
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Area: Se ial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650
503080608 ~~ + ~~~~ ~'+~T-/
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As provided by section 6321, 6322, and 6323 the Internal Revenue
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Code, we are ghring a notice that taxes (includin i~rterest and penakks) ~~ .D~C~
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have been assessed against the following-named r. We have made
a demand for payment of this liability, but k re ns unpaid. Therefore, C~ ~~~
there is a lien in favor of the linked States on 1 property and rights to
property belonging to this taxpayer for the a nt of these taxes, and `
additional penalties, interest, and costs that
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Name of Taxpayer MARK R TAYLOR !~
Residence 427 INDEPENDENCE CT
MECHANICSBURG, PA 170 50-1842
IMPORTANT RELEASE INFORMATION: For ea h assessment listed below,
unless notice of the lien is refiled by the date given in olumn (e), this notice shall,
on the day following such date, operate as a certi cate of release as defined
in IRC 6325(a).
Tax Period Date of Last Da~ffyy for llnpahl Balance
Kind of Tax Ending Identifying Num r Assessment Refiflng of Assessment
(a) (b) (c) d) (~)
1040 12/31/2002 XXX-XX-4176 06/02/2003 07/02/2013 2583.55
CIVP 12/31/2002 XXX-XX-41761 07/26/2004 08/25/2014 37681.13
CIVP 03/31/2003 XXX-XX-4176 07/26/2004 08/25/2014 14493.95
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Place of Filing
Prothonotary
Cumberland County ',
Carlisle, PA 170131
This notice was prepared and signed at
the 19th day of December 200
Total ~$ 54758.63
DETROIT, MI
on this,
Signature ~ A ~Y~~ ACS 11-00-0000
for DEBRA K. HURST (800) 829-7650
(NOTE: Certificate of officer authorized by law to tak .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(c) (Rev. 2-2004)
Part 1 •iflCant BY Rlcordlo~ Oflflu r•er un ann9~Y