HomeMy WebLinkAbout10-5811Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
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: Serial Number For Optional Use by Recording Office
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SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 69535,7010
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 T
a demand for payment of this liability, but it remains unpaid. Therefore, c
there is a lien in favor of the United States on all property and rights to , Q k?
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue. c;?
Name of Taxpayer DONALD D WINGARD
Residence 286 S LOCUST POINT APT C
MECHANICSBURG, PA 17055
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (a), this notice shall, /?
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on the day following such date, operate as a certificate of release as defined
IRC 6325(
)
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a
.
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 12/31/2008 XXX-XX-1941 08/05/2009 09/04/2019 3240.89
1040 12/31/2009 XXX-XX-1941 04/15/2010 05/15/2020 4416.07
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 7676.96
This notice was prepared and signed at
the 31st day of August
DETROIT, MI
2010
, on this,
Signature Title
11? 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