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HomeMy WebLinkAbout10-7311Form 66$ (Y)(c) fRev. February 2004) Notice of Federal Tax Lien 11 Area: Serial Number For Optional Use by Recording Office WAGE & INVESTMENT AREA #1 Lien Unit Phone: (800) 829-7&50 720972010 ~ As id d b i lv ~ ~`~~~ ~~ prov e y sect on 632 t, 6322, and 6323 of the [nternal Revenue Gode, 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 a[[ property and rights to property belonging to this taxpayer for the amount of these taxes, and .. additional penalties, interest, and costs that may accrue. ~ 4 ~ Name of Taxpayer MARK H HERT2LER ~~ ~ ~ ,~ r~r ~ rn Residence 312 GLENDALE DR r~-,2 C"~ ~'~ -fO SHIREMANSTOWN, PA 17011-6513 ,~~-~ s. ~~ zo ~ z ` IMPORTANT RELEASE INFORMATION: For each assessment listed below, ~`~ ~ ~ c 7 ©~ unless notice of the lien is refiled by the date given in column (e!, this notice shall, !, w ~ ~ ~~ / on the day following such date, operate as a certificate of release as defined ~g` ~~` ` G ~~" in IRC 6325(ai. ~~ a S/,$~yO Kind of Tax Tax Period Ending Identifying Number Date of Assessment Last Dayy for Refi[ing unpaid Balance of Assessment (a) b) (c) (d (e) (f) 1040 12/31/2007 XXX-XX-0106 05/26/2008 06/25/2018 1040 12/31/2007 XXX-XX-0106 05/17/2010 06/16/2020 25594.74 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total ~ $ 25594.74 This notice was prepared and signed at the 12th day of November Signature for DETROIT, MI , on this, 2010 Title ACS 11-00-0000 DEBRA K. HURST ~ 5800) 829-7650 (NOTE. Certificate of officer authorized by law to take acknowiedgment is not essential to the validity of Notice of Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 409) Department of the Treasury -Internal Revenue Service Part 1 -Kept By Recording 011977ce Farm bb$(Y)(c) fRev. 2-2004) CAT. Nd ti0025X