HomeMy WebLinkAbout09-4579Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien -fi nn- u < 7 q F TL
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650
561303009
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As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties) U? G o ??
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 United States on all property and rights to 10
property belonging to this taxpayer for the amount of these taxes, and -, ;-=
additional penalties, interest, and costs that may accrue. ^
Name of Taxpayer DONALD E GRETH JR _
Residence 176 WOLF BRIDGE RD rv s F r"'
CARLISLE, PA 17013-8905 °- -
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 Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2002 XXX-XX-2578 10/27/2008 11/26/2018 9562.69
1040 12/31/2004 XXX-XX-2578 04/15/2005 05/15/2015
1040 12/31/2004 XXX-XX-2578 02/12/2007 03/14/2017 824.43
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 10387.12
This notice was prepared and signed at DETROIT, MI
the 30th day of June 2009
, on this,
Signature A Title
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 validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409)
Part 1 - Kept By Recording CAT Office CAT. 668( (Rev. 2 2004>
. NO 60025X