HomeMy WebLinkAbout09-8742Form 668 (Y)(c)
(Rev. February 2004)
4804
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA
Lien Unit Phone: (800) 829-776 650
607551509 09
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties)
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have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, ,L
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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. ?a 3 5 a2.7 r
Name of Taxpayer JAMA E CHOQUETTE
Residence 3416 LISBURN RD
MECHANICSBURG, PA 17055-6714
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 Ref iling of Assessment
(a) (b) (c) (d) (e) M
1040 12/31/2006 XXX-XX-3328 10/20/2008 11/19/2018 6007.57
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-
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177
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 6007.57
This notice was prepared and signed at DETROIT, MI
the 15th day of December 2009
, on this,
Signature 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 Recording Office CAT. NO 60025X