HomeMy WebLinkAbout09-8591Form 668 (Y)(c)
(Rev. February 2004)
44
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien 0 9,11501) )t- rL-
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1 n? n y?9 py
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Lien Unit Phone: (800) 829-7650 603911009
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As provided by section 6321, 6322, and 6323 of the Internal Revenue p?
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made , ?3 y 7 P
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.
Name of Taxpayer RICHARD L EDMONDSON
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Residence
122 E WILLOW ST -
CARLISLE, PA 17013-3931
IMPORTANT RELEASE INFORMATION: For each assessment listed below, m
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 c::)
in IRC 6325(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (17
1040 12/31/2003 XXX-XX-9340 03/21/2008 04/20/2018 3232.11
1040 12/31/2004 XXX-XX-9340 04/13/2009 05/13/2019 4174.30
1040 12/31/2005 XXX-XX-9340 04/13/2009 05/13/2019 3932.36
1040 12/31/2006 XXX-XX-9340 04/06/2009 05/06/2019 3478.38
1040 12/31/2007 XXX-XX-9340 04/06/2009 05/06/2019 3642.78
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 18459.93
This notice was prepared and signed at DETROIT, MI
the 03rd day of December 2009
, on this,
Signature 7? A 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 vauaity or rvouce or re0erdi i dX nen
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X