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HomeMy WebLinkAbout09-6764Form 668 (Y)(c) (Rev. February 2004) 2 Department of the Treasury - Internal Revenue Service Notice of Federal Tax Lien & ©9- C7G ti F'71- Area: Serial Number For Optional Use by Recording Office WAGE & INVESTMENT AREA #1 /?? T '0 Ili s 1n,, CIO Lien Unit Phone: (800) 829-7650 587159309 p n As provided by section 6321, 6322, and 6323 of the Internal Revenue Oz- (, Ito Code, we are giving a notice that taxes (including interest and penalties) have been assessed against the following-named taxpayer. We have made n i 2L, 2 3170 a demand for payment of this liability, but it remains unpaW. 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 n 4 additional penalties, interest, and costs that may accrue. ° -n Name of Taxpayer GARY L SR & VIRONA G ROWE m!'' C Residence 5401 OXFORD DR APT 17 MECHANICSBURG, PA 17055-5429 ? > ?M O N ? 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 Wiling of Assessment (a) (b) (c) d (e) 1040 12/31/2003 XXX-XX-1817 08/23/2004 09/22/2014 28.59 1040 12/31/2004 XXX-XX-1817 11/03/2008 12/03/2018 2181.28 1040 12/31/2005 XXX-XX-1817 10/06/2008 11/05/2018 9544.10 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total 1$ 11753.97 This notice was prepared and signed at DETROIT, MI the 02nd day of October 2009 , on this, Signature ,K? A 'Yh? 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) Form 668(Y)(c) (Rev. 2-2004) Part 1 - Kept By Recordinx Office CAT. Nr enn?F„ r,