HomeMy WebLinkAbout10-6959Form 668 M(c) Department of the Treasury - Internal Revenue Service
(Rev. February 2004) Notice of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 714391310
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 ROBERT T DEMAREST
Residence 410 HURON DR
MECHANICSBURG, PA 17050
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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(x).
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Day for
Refiling Unpaid Balance
of Assessment
(a) (b) c) (d) (e (f)
1040 12/31/2004 XXX-XX-7740 07/03/2006 08/02/2016 4846.03
1040 12/31/2005 XXX-XX-7740 10/22/2007 11/21/2017 3926.75
1040 12/31/2006 XXX-XX-7740 06/23/2008 07/23/2018 15847.12
1040 12/31/2007 XXX-XX-7740 11/17/2008 12/17/2018 12091.76
1040 12/31/2008 XXX-XX-7740 11/16/2009 12/16/2019 7225.90
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
For Optional Use by Recording Office
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Total 1$ 43937.56
This notice was prepared and signed at
the 26th day of October
DETROIT, MI
2010
, on this,
Signature ? Title
ACS 11-00-0000
for DEBRA K. HURST -4 (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