HomeMy WebLinkAbout10-4673 1188
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 2004) Notice of Federal Tax Lien 1 -'173 M
0
Area: Serial Number .
For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-765
0
665264410 lq. 00 pa p(pjr
As provided by section 6321 6322, and 6323 of the Internal Revenue
Code, we are giving a notice h at taxes (including Interest and penalties)
have been assessed against th following-named taxpayer. We have made
a demand for payment of th liability, but it remains unpaid. Therefore,
there is a lien in favor of the nhed States on all property and rights to
property belonging to this er for the amount of these taxes, and N
additional penalties, interest, nd costs that may accrue. -n
Name of Taxpayer JEREMY B RNS ' ?_
rm" [`tl
-
i
Residence PO BOX 46 2
NEW KINGS OWN, PA 17072-0462
IMPORTANT RELEASE INF
RMATION: For each assessment listed below ?! yy
unless notice of the lien is refiled ,
y the date given in column (e), this notice shall,
jcf.aj <
&1 c
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a). n1 ?f a t?532?
Kind of Tax Tax Period
Ending
1
entifying Number Date of
Assessment Last Day for
Refiling Unpaid Balance
of Assessment
(a) (b) (c d) (e) M
1040 12/31/2005 -XX-3976 03/30/2009 04/29/2019 19658.24
1040 12/31/2007 -XX-3976 03/29/2010 04/28/2020 7519.36
Place of Filing
Prothono ary
Cumberla d County Total $ 27177.60
Carlisle PA 17013
This notice was prepared and sign ed at DETROIT, MI on this
,
,
the 09th day of June 2010
Signature R Title
for DEBRA K. HURST ACS
(800) 829-7650 11-00-0000
(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 2 - Internal Revenue Service TDA Copy CAT. NO 60025X