HomeMy WebLinkAbout10-6169Form 668 M(c)
(Rev. February 2004)
3621
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650 700737710
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.
Name of Taxpayer KEITH M GETTY
Residence 19 N 24TH ST
CAMP HILL, P.A 17011-3601
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
in IRC 6325(a).
For Optional Use by Recording Office
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Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) M
1040 12/31/2007 XXX-XX-8710 03/23/2009 04/22/2019 1973.96
1040 12/31/2008 XXX-XX-8710 11/16/2009 12/16/2019 1316.24
1040 12/31/2009 XX.X-XX-8710 05/31/2010 06/30/2020 787.68
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 4077.88
This notice was prepared and signed at DETROIT, MI
the 16th day of September 2010
, on this,
Signature ,f0. y F,1v1 - I 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 t-e(ierai i ax iren
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2-2004)
Part I - Kept By Recording Office CAT. NO 60025X