HomeMy WebLinkAbout09-8250Form 668 (Y)(c)
(Rev. February 2004)
4804
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien ?,,o 9_ j7 a sv FTt-
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 7
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Lien Unit Phone: (800) 913-6050 600154109 ,
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made
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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 rv
additional penalties, interest, and costs that may accrue. -
Name of Taxpayer GARY L & MARGARET K SHIMMEL ;
- C.J "CZ T?
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Residence 6611 CARLISLE PIKE -
MECHANICSBURG, PA 17050-1707 °
NT RELEASE INFORMATION: For each assessment listed below, iv z?
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e of the lien is refilled 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
IR
5(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2007 XXX-XX-8510 11/03/2008 12/03/2018 500.10
1040 12/31/2008 XXX-XX-8510 10/05/2009 11/04/2019 1227.60
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 1727.70
This notice was prepared and signed at
DETROIT, MI
the 19th day of November 2009
, on this,
Signature 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)
Part 1 - Kept By Recording Office Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X