HomeMy WebLinkAbout09-7972Form 668 (Y)(c)
(Rev. February 2004)
4804
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien 72r 0 9 -79 72 P7 L
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1 /J
p "J;'m
Lien Unit Phone: (800) 829-7650 596583009 d
?l
As provided by section 6321, 6322, and 6323 of the Internal Revenue Gc- 5-67/
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made 33 t,.7 -3
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
additional penalties, interest, and costs that may accrue. n rv
Name of Taxpayer VICKY L LANGE -
c:, -Q
- r-
Residence
413 N WALNUT ST
MECHANICSBURG, PA 17055-3379 - - °
NT RELEASE INFORMATION: For each assessment listed below,
e of the lien is refiled by the date given in column (e), this notice shall,
F ?f NO
following such date, operate as a certificate of release as defined
t
o v?
n I 51a?.
RC
i
Tax Period Date of Last D for Unp aid Balance
Kind of Tax Ending Identifying Number Assessment Refing of Assessment
(a) (b) (c) (d) (e) M
1040 12/31/2002 XXX-XX-9710 06/02/2003 07/02/2013 2024.60
1040 12/31/2003 XXX-XX-9710 06/12/2006 07/12/2016 2840.62
1040 12/31/2004 XXX-XX-9710 06/12/2006 07/12/2016 1707.88
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 6573.10
This notice was prepared and signed at
DETROIT, MI
the 05th day of November 2009
, on this,
Title
Signature A A
11-00-0000
CS
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 I - Kept By Recording Office CAT. NO 60025X