HomeMy WebLinkAbout09-6486Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
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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 penahies)
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have been assessed against the following-named taxpayer. We have made 1 3 o 36
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
property belonging to this taxpayer for the amount of these taxes, and
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additional penalties, interest, and costs that may accrue. -' 7
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Name of Taxpayer JOHN L RAUSCH III `-Fri
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Residence 289 CHARLES ROAD L.1
MECHANICSBURG, PA 17050 _•
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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 6 225(a).
Tax Period Date of Last Daayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Wiling of Assessment
a) (b c) (d) (e
1040 12/31/2000 XXX-XX-1153 08/21/2006 09/20/2016 9651.62
1040 12/31/2002 XXX-XX-1153 08/29/2005 09/28/2015 54821.37
1040 12/31/2003 XXX-XX-1153 09/18/2006 10/18/2016 21753.19
1040 12/31/2004 XXX-XX-1153 07/23/2007 08/22/2017 10743.91
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 96970.09
This notice was prepared and signed at
DETROIT, MI
the 18th day of September 2009
Signature
, on this,
for MICHAEL 'W . COX
Title
ACS
(800) 829-3903
22-00-0008
(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 668M(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office
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