HomeMy WebLinkAbout09-2136Form 668 (Y)(c)
4805
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien ., ~ _,
Area: Serial Number For Op Tonal Use by Recording Office
WAGE :~ INVESTMENT AREA #1 y~ ~ ~, ~'14.~
Lien Unit Phone: (800) 829-7650 530555609 '
As provided by secdon 6321, 6322, and 6323 of the Internal Revenue (',~ ~ ~ 3 ~
Code, we are giving a notice that taxes (htcluding interest and penalties) ~ ~ 3 ~ ~ ~
have been assessed against the followMg-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore,.
there is a lien M favor of the united States on ap property and rights to
property bebnging to this taxpayer for the amount of these taxes, and '
additional penalties, interest, and vests that may aurae.
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Name of Taxpayer ANN C HARRISON ~I ~~.
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Residence 10 5 CENTRAL WAY
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SHIPPENSBURG, PA 17257-8793 ~ -- ~
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, C' ~
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unless notice of the lien is refiled by the date given in column le), this notice shall,
se as defined
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in IRC 6325(a). ~ '~
Tax Period Date of /ay for
Last Unpaid Balance
Kind of Tax Ending Identifying Number Assessment R~
filing of Assessment
a b c d e f)
1040 12/31/2001 XXX-XX-9936 04/16/2007 05/16/201 7375.89
1040 12/31/2002 XXX-XX-9936 08/20/2007 09/19/201 1696.36
1040 12/31/2003 XXX-XX-9936 04/16/2007 05/16/201 4630.45
1040 12/31/2004 XXX-XX-9936 04/16/2007 05/16/201
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I 101088.87
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
To1~al ~ $ 114 7 91.5 7
This notice was prepared and signed at
DETROIT, MI
the 31st day of March 2009
on this,
Signature ~ y ~/~ ACS ~ 11-00-0000
for DEBRA K. HURST (800) 829-7650
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validi y of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 4091
Part 1 - iKapt iBy RecordieE Office Form 668(lf)(c) (Rev. 2-20041
CAT. NO 60025X
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