HomeMy WebLinkAbout10-5035Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650
680848310
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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
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
additional penalties, interest, and costs that may accrue.
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BRYAN J EYER
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axpayer
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Residence 58 RUSTIC DR d
SHIPPENSBURG, PA 17257-1942
IMPORTANT RELEASE INFORMATION: 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
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IRC 6325(
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Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d (e) (f)
1040 12/31/2007 XXX-XX-2750 04/15/2008 05/15/2018
1040 12/31/2007 XXX-XX-2750 09/07/2009 10/07/2019 1720.05
1040 12/31/2008 XXX-XX-2750 05/11/2009 06/10/2019 3042.70
1040 12/31/2009 XXX-XX-2750 04/26/2010 05/26/2020 2246.85
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 7009.60
This notice was prepared and signed at
the 22nd day of July
DETROIT, MI
2010
, on this,
Signature yt? A \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)
Form 668( (Rev. )
Part 1 - Kept By Recording Office CAT. NO 60025X
025X
CAT