HomeMy WebLinkAbout10-3882l l 131.3 3
Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 2004) Notice Of Federal Tax Lien ~~ _ ~fef3a ~
Area: Serial Number For Optional Use by Recording.Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650 664590110 x+14.00 pA pLP~
As provided by section 6321, 6322, and 6323 of the Internal Revenue i?,~'lDS~g
Code, we are giving a notice that taxes (including interest and penalties) ~~ 313599
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 cn_'_- C7 -~
additional penalties, interest, and costs that may accrue. ` ~ --
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Name of Taxpayer JANICE T BARISKI "~~ `_~ ~=
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Residence 57 LONGWOOD DR ~> "~ `:"
MECHANICSBURG, PA 17050-7973 ~'~ =-
IMPORTANT RELEASE 1111FORMATION: 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).
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Daayy for
Reflling iJnpaid Balance
of Assessment
(a b) c d (e
1040 12/31/2008 XXX-XX-5697 11/09/2009 12/09/2019 1754.95
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 1754.95
This notice was prepared and signed at DETROIT, MI
the 08th day of June ~ 2010
on this,
Signature ~ f-i ~/Y~~~ 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)
Part 1 -Kept By Record;ng Office Form 668(Y)(c) (Rev. 2-20041
CAT. NO 60025X