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HomeMy WebLinkAbout10-3074Form 668 (Y)(c) (Rev. February 2004) 11883 Department of the Treasury - Internal Revenue Service Notice of Federal Tax Lien 1a _ 3084 r-7L Area: Serial Number For Optional Use by Recording Office WAGE & INVESTMENT AREA #1 Lien Unit Phone: (800) 829-7650 651868510 4 (Q .00 D P PLFF As provided by section 6321, 6322, and 6323 of the Internal Revenue C,IC? i ?i g9 Code, we are giving a notice that taxes (including interest and penalties) 0 a4i 838 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. Name of Taxpayer RHONDA S STOKES f; ? rn Residence PO BOX 2418 PA 17055-0918 MECHANICSBURG , IMPORTANT RELEASE INFORMATION: For each assessment listed below, a unless notice of the lien is refiled by the date given in column (e), this notice shall, O -? 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 12/31/2004 XXX-XX-4091 05/14/2007 06/13/2017 27383.44 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total I$ 27383.44 This notice was prepared and signed at the DETROIT, MI 2010 , on this, Signature /? A Title ACS 11-00-0000 for DEBRA K. HURST (800) 829-7650 04th day of may (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 C^.T, r q f.Of