HomeMy WebLinkAbout10-5933Form 668 (Y)(c)
(Rev. February 2004)
11
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
697135410
1)933 t! -TL,
10-
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
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 CONSTANCE M VANMETER
;ern
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Residence 1218 CLEARFIELD RD o
'
SHIPPENSBURG, PA 17257-9322
TANT RELEASE INFORMATION: For each assessment listed below,
otice of the lien is refiled by the date given in column (e), this notice shall,
F
ay following such date, operate as a certificate of release as defined
225(a).
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Day for
Refilling Unpaid Balance
of Assessment
(a) (b) (c) (d) (e) (f)
CIVP 06/30/2007 XXX-XX-3465 07/27/2009 08/26/2019 10552.00
CIVP 09/30/2007 XXX-XX-3465 07/27/2009 08/26/2019 5035.07
CIVP 12/31/2007 XXX-XX-3465 07/27/2009 08/26/2019 7854.30
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 23441.37
This notice was prepared and signed at
DETROIT, MI
the 07th day of September, 2010
, on this,
Signature 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)
Part 2 - Internal Revenue Service TDA Copy CAT. 668( (Rev. 2-20041
CAT. NO 60025X