HomeMy WebLinkAbout10-3075Form 668 (Y)(c)
(Rev. February 2004)
1883
Clepartment of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien 10
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Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650
651871710
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As provided by section 6321, 6322, and 6323 of the Internal Revenue C' ILA 1018F1
Code, we are giving a notice that taxes (including interest and penalties) R,# a41W
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 n c-!
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property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue. r,
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Name of Taxpayer MARVIN H SHOEMAKER JR --
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Residence 823B RIDGE RD 4 M
SHIPPENSBURG, PA 17257-9725
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) M
1040 12/31/2001 XXx:-XX-6736 11/01/2004 12/01/2014 2078.85
1040 12/31/2003 XXx:-XX-6736 05/21/2007 06/20/2017
1040 12/31/2003 XXx:-XX-6736 06/02/2008 07/02/2018 72871.61
1040 12/31/2004 XXX-XX-6736 10/16/2006 11/15/2016 6508.63
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 81459.09
This notice was prepared and signed at
the 04th day of May
DETROIT, MI
2010
, on this,
Signature N y;z..P Title
ACS 11-00-0000
for DEBRA K. HURST (800) 829-7650
?...,.?. VCIUIIUaIe UI UIIIGer aucnor¢eo Dy law Lo taKe acKnowieogment 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
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