HomeMy WebLinkAbout09-6181Form 668 (Y)(c)
(Rev. February 2004)
4
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
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578845209
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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) ?'- '7 5 V 3
have been assessed against the following-named taxpayer. We have made
3014
a demand for payment of this liability, but it remains unpaid. Therefore, L't",
there is a lien 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 JOHN E TEEL c o
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Residence 238 WALNUT ST APT 4 n0Fn
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LEMOYNE, PA 17043-1645 '!` --- =
NT RELEASE INFORMATION: For each assessment listed below, = t.. = C a
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e of the lien is refiled by the date given in column (e), this notice shall,
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following such date, operate as a certificate of release as defined _
IRC
5(a). C.a
Tax Period Date of Last Day f or Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) M
1040 12/31/2008
1 XXX-XX-6145 05/11/2009 06/10/2019 603.89
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 603.89
This notice was prepared and signed at
DETROIT, MI
the 03rd day of September 2009
, on this,
Signature 11? A \ -h? 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 Office CAT. 668( (Rev. 2-2004)
CAT. NO 60025X
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