HomeMy WebLinkAbout10-5541118F33
Form 668 (Y)(c) Department of the Treasury - Internal Revenue Service
(Rev. February 2004) Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650
689477210
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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 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
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property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
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Name of Taxpayer DOUGLAS M WALBURN
Residence 4 E LISBURN RD
MECHANICSBURG, PA 17055-5537
NT RELEASE INFORMATION: For each assessment listed below
,
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e of the lien is refiled by the date given in column (e), this notice shall
,
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following such date, operate as a certificate of release as defined
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Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment L ast Day for
Refiling Unpaid Balance
of Assessment-,
(a) b (c d) (e (f)
1040 12/31/2008 XXX-XX-3074 06/22/2009 07/22/2019 1010.41
1040 12/31/2009 XXX-XX-3074 05/24/2010 06/23/2020 485.84
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total t$ 1496.25
This notice was prepared and signed at DETROIT, MI
the 17th day of August 2010
, on this,
Signature 11? H -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 Recording Office CAT. 668( (Rev. 2-2004)
CAT. NO 60025X