HomeMy WebLinkAbout10-6955Form 668 (Y)(c)
(Rev. February 2004)
118
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 713082110
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on 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, m,
there Is a lien in favor of the United States on all property and rights to
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property belonging belonging to this taxpayer for the amount of these taxes, and .TM _'rf-
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additional penalties, interest, and costs that may accrue.
Name of Taxpayer LINDA I MOWERY =tea ;-n
Residence 1581 WALNUT BOTTOM RD C=)
NEWVILLE, PA 17241-9521 -<
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).
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Dayy for
Reflling Unpaid Balance
of Assessment
(a) (b) (c) (d) (e) M
1040 12/31/2009 XXX-XX-2577 05/24/2010 06/23/2020 3982.96
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 3982.96
This notice was prepared and signed at DETROIT, MI
the 26th day of October 2010
Signature
Title
ACS
, on this,
11-00-0000
for DEBRA K. HURST 'c (800) 829-7650
4ta
(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 Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X