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HomeMy WebLinkAbout10-7209farm 668 (Y}(c) tRev. February 20041 Department of the Treasury -Internal Revenue Service Notice of Federal Tax Lien A Serial Number For Optional Use by Recording Office rea: SMALL BUSINESSjSELF EMPLOYED AREA #2 Lien Unit Phone: (800) 913-6050 718902510 ~~ l R ~~ r ~~~J r evenue As provided by section 6321, 6322, and 6323 of the Interna 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. ~, _~ fi~;~°- ..._ - j' Name of Taxpayer KIM S TAYLOR ~' ~= -` ~~ ~-~' xz~ i - ¢~; ~ ~ Residence 651 CONODOGUINET AVE _ ~" {~ ' __ ~- CARLISLE, PA 17015-7738 _ ~~'.'+ ~'' 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, ~ ~Z Ig ©~ :~~ ~- on the day following such date, operate as a certificate of release as defined ~ v -E ' /° in IRC 6325(a). 1~7f Tax Period Date of Last Dayy for unpaid Balance ' Kind of Tax Ending Identifying Number Assessment Refiiing of Assessment (a) (b) (c) (d) (e) (f) 1040 12/31/2004 XXX-XX-3525 09/06/2010 10/06/2020 636.28 1040 12/31/2005 XXX-XX-3525 09/06/2010 10/06/2020 1316.27 1040 12/31/2006 XXX-XX-3525 09/06/2010 10/05/2020 3092.17 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total ~ $ 5044.72 This notice was prepared and signed at DETROIT, MI the 05th day of November 2010 on this, Signature ~ 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) Pact t -Kept By Recordfeg Office Form 668(Y)(c) (Rev. 2-2004) CAT. NO 6002,~X !N6~