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HomeMy WebLinkAbout10-4762Form 668 (Y)(c) (Rev. February 2004) Department of the Treasury - Internal Revenue Service Notice of Federal Tax Lien A Serial Number For Optional Use by Recording Office rea: SMALL BUSINESS/SELF EMPLOYED AREA #2 Lien Unit Phone: (800) 913-6050 675226010 lO ./ ?G? ?TL As provided by section 6321, 6322, and 6323 of the Internal Revenue Code, we are giving a notice that taxes (including interest and penalties) have been assessed against the following-named taxpayer. We have made a demand for payment of this liability, but it remains unpaid. Therefore, C © 4 there is a lien in favor of the united States on all property and rights to C- property belonging to this taxpayer for the amount of these taxes, and additional penalties, interest, and costs that may accrue. 11 ON r ) > . CD Name of Taxpayer TAMMY L BOCK Residence 3 WILTSHIRE WEST ST CARLISLE, PA 17015-7100 C'• ORTANT RELEASE INFORMATION: For each assessment listed below, notice of the lien is refiled by the date given in column (e), this notice shall, F e day following such date, operate as a certificate of release as defined 6325(a). l* oZ s?4 Tax Period Date of Last Day for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refiling of Assessment (a) (b (c (d (e) M 1040 12/31/2002 XXX-XX-2837 12/05/2005 01/04/2016 1131.04 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total 1 $ 1131.04 This notice was prepared and signed at the 07th day of July DETROIT, MI 2010 , on this, ada Title Signature A REVENUE OFFICER 22-06-1418 for JAKOB PEDERSEN (717) 777-9621 (NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien Rev. Rut. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2-2004) Part 1 - Kept By Recording Office . CAT. NO 60025X