HomeMy WebLinkAbout09-0573 Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c) Notice Of Federal Tax Lien
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(Rev. February 2004) L
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Serial Number For Optional Use by Recording Office
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #2 ~d,~,~ a/ g c*a
Lien Unit Phone: (800) 829-3903 511442509
As provided by section 6321, 6322, and 6323 of the Internal Revenue ck.. ~r3Y
Code, we are giving a notke that taxes (including interest and penalties) a ab 3 (~3
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have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, ^,
there is a lien in favor of the linked States on all property and rights to ° ~,
property bebnging to this taxpayer for the amount of these taxes, and ,~ -n
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addkional penaltks, interest, and costs that may accrue. ~
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Name of Taxpayer ELIZABETH G FLORES
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Residence 514 MILL RACE RD
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CARLISLE, PA 17013-25 ~
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 6325la).
Tax Period Date of Last Daayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Reflling of Assessment
(a) b) (c) d) (e) (~
1040 12/31/2004 XXX-XX-6933 04/30/2007 05/30/2017 21451.87
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~ $ 214 51.8 7
This notice was prepared and signed at
the 27th day of January
DETROIT, MI
2009
on this,
Signature ~ 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.i3. 4091 Form 668(Y)(c) (Rev. 2-2004)
Part 1 -Kept By RecordinE Office CAT. NO 60025X