HomeMy WebLinkAbout09-2524Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien 9
Area: Serial Number
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650 535565909
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties)
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 alien in favor of the United States on all property and rights to
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, Interest, and costs that may accrue.
Name of Taxpayer LARRY J WALTERS
Residence 51 E SOUTH ST
CARLISLE, PA 17013-3427
s. 2
For Optional Use by
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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 Period Date of Last Day for
Kind of Tax Ending Identifying Number Assessment Refing
1040 -112/31/20061 XXX-XX-4039 109/08/2008 10/08/2018
Place of Filing
470.27
Prothonotary
Cumberland County
Carlisle, PA 17013
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Office
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Unpaid Balance
of Assessment
This notice was prepared and signed at DETROIT, MI
the 14th day of April 2009
, on this,
Signature
11-00-0000
;'? H 1.QQ ACS tle
for DEBRA K. HURST (800) 829-7650
Total 1 $ 470.27
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the valiany of Notice or reaerai i ax uen
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2-2004)
Paw I - K"t By K+l?C4??iKV omee CAT. NO 60025X