HomeMy WebLinkAbout09-8885Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
608773009
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As provided by section 6321, 6322, and 6323 of the Internal Revenue
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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, Ct ?,?( g??S
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 -L a 3 55?
additional penalties, interest, and costs that may accrue.
Name of Taxpayer KRISTINE M HARTZ
Residence 22 COUNTRY CLUB PLACE WEST APT 1
CAMP HILL, PA 17011-2613
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refilled 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 Refilling of Assessment
(a) (b) (c (d) e) f)
1040 12/31/2006 XXX-XX-8065 05/28/2007 06/27/2017 148.68
1040 12/31/2007 XXX-XX-8065 05/26/2008 06/25/2018 4701.63
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 4850.31
This notice was prepared and signed at DETROIT, MI
the 17th day of December 2009
Signature
, on this,
Title
REVENUE OFFICER
22-08-3328
for JASON A. ALVES (215) 861-1298
(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 CAT. 668( (Rev. 220
CAT. NO 60025X
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