HomeMy WebLinkAbout08-7543Form bb8 (Y)(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
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 503073408 /1~ ,~,?rs~3
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As provided by section b321, 6322, and 6323 of the Internal Revemie
Code, we are giving a notice that taxes (includMB interest and penalties) ~jrj, o ~ l~cL
have been assessed against the folio~ving-named taxpa~rer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, G~ K.'d-, /,s-~
there is a lien in favor of the united States on all property and rights to
property belonging to this taxpayer for the amount of these taxes, and ~ ~ I g 4~
additional penalties, interest, and costs that may accrue.
Name of Taxpayer NICOLE STAPLETON-OWENS
Residence 6402 CARLISLE PIKE
MECHANICSBERG, PA 17050-2310
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 Perbd Date of Last
Da
~r for llnp~d Balance
Kind of Tax Ending Identifying Number Assessment R ,
g of Assessment
a) b c d (e) f)
1040 12/31/2001 XXX-XX-3816 11/19/2007 12/19/2017 2146.55
1040 12/31/2004 XXX-XX-3816 11/19/2007 12/ 19/2017 11924.79
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~ $ 14 0 71.3 4
This notice was prepared and signed at
DETROIT, MI
the 19th day of December 2008
on this,
Signature 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) Form bb8(n(c) (Rev. 2-2004)
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