HomeMy WebLinkAbout09-5530Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien -- q s-5 -s o F?T
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
569678709
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As provided by section 6321, 6322, and 6323 of the Internal Revenue G 9?4
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made y r~, ?? >
2 9
a demand for payment of this liability, but it remains unpaid. Therefore, r ' n
there is a lien In favor of the United States on all property and rights to r ; ? x
property belonging to this taxpayer for the amount of these taxes, and r r F-
additional penalties, interest, and costs that may accrue.
Name of Taxpayer GLORIA J LYTLE - --'
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Residence 3242 ENOLA RD r -
-
CARLISLE, PA 17015-9545 _
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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 3325(a).
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Day for
Refiling Unpaid Balance
of Assessment
(a) (b) (c) (d) (e) (f)
1040
1 12/31/2004 XXX-XX-5303 07/06/2009 08/05/2019 3063.48
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 3063.48
This notice was prepared and signed at DETROIT, MI
the 31st day of July 2009
, on this,
Signature ?- P I k4;tFb C. Title
REVENUE OFFICER 22-06-1407
for SEAN DUNLEAVY (717) 777-9626
(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 66f11(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X