HomeMy WebLinkAbout10-2398Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area:
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650
Serial Number
641384610
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
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.
ame of Taxpayer
Residence PO BOX 654
SHIPPENSBURG, PA 17257-0654
For
- ??3as ? Use by Recording Office
419.00 PO PLPF
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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
Kind of Tax Ending Identifying Number Assessment Refiling
Unpaid Balance
of Assessment
1040 12/31/2001 XXX-XX-9074 05/06/2002 06/05/2012 3551
00
1040 12/31/2003 XXX-XX-9074 06/12/2006 07/12/2016 .
4506
48
1040 12/31/2004 XXX-XX-9074 06/12/2006 07/12/2016 .
4603
02
1040 12/31/2005 XXX-XX-9074 07/31/2006 08/30/2016 .
2828
53
1040 12/31/2006 XXX-XX-9074 05/21/2007 06/20/2017 .
898.80
1040 12/31/2008 XXX-XX-9074 05/25/2009 06/24/2019 672.54
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 17060.37
This notice was prepared and signed at
the
06th day of April
2010
DETROIT, MI
, on this,
Signature ?- N 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(n(c) (Rev. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X