HomeMy WebLinkAbout10-4543Form 668 (Y)(c)
(Rev. February 2004)
1
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 #3
672267810
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Lien Unit Phone: (800) 913-6050
As provided by section 6321, 6322, and 6323 of the Internal Revenue =
Code, we are giving a notice that taxes (including interest and penalties) `' r-- =?`
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 i° `-
property belonging to this taxpayer for the amount of these taxes, and ?e
additional penalties, interest, and costs that may accrue. ::
Name of Taxpayer JENNY A YOUNG c:
c
Residence 546 HUMMEL AVE APT 1
LEMOYNE, PA 17043
IMPORTANT RELEASE INFORMATION: For each assessment listed below, 7
unless notice of the lien is refiled by the date given in column (e), this notice shall, /J
;? 90
?
on the day following such date, operate as a certificate of release as defined 1
in IRC 6325(a).
Tax Period Date of Last D for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) b (c) (d) (e) (
1040 12/31/2004 XXX-XX-3225 09/07/2009 10/07/2019 675.33
1040 12/31/2005 XXX-XX-3225 09/08/2008 10/08/2018 12159.13
1040 12/31/2006 XXX-XX-3225 06/30/2008 07/30/2018 2247.67
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 15082.13
This notice was prepared and signed at DETROIT, MI
the 28th day of June 2010
, on this,
Signature Title
A 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(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X