HomeMy WebLinkAbout10-7455Form 668 (Y)(c)
(Rev. February 2004}
Department of the Treasury- Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number Far Optional Use by Recording Office
SMALL BUSINESSfSELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 723961310 >D _ -~~s~C r~~
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As provided by section 6321, b32Z, and b323 of the Interns[ Revenue J
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 far payment of this liability, but it remains unpaid. Therefore,
there is a lien in favor of the united States on all property and rights ta
property belonging to this taxpayer for the amount of these taxes, and ~ ~
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additional penalties, interest, and casts that may accrue. r>,
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Name of Taxpayer WILLIAM E & DEBORAH A MARTIN ~
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Residence 12 BEIDLER DR ~c:a
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SHIPPENSBURG, PA 17257-9746 ,
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IMPORTANT RELEASE INFORMATION; For each assessment listed below, ~
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unless notice of the lien is refiled by the date given in column (e), this notice shall, ~Ct,Q(~
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on the day following such date, operate as a certificate of release as defined
in IRC 6325l
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Tsx Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Ref iling of Assessment
{a) b) (c) d) ( e) (f)
1040 12/31/2006 XXX-XX-5462 05/2$/2007 06/27/2017 4214.10
1040 12/31f2007 XXX-XX-5462 05/26/200$ 06/25/201$ 6035.53
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 10249.63
This notice was prepared and signed at DETROIT, MI
the 2 3rd day of November 2 010
on this,
Signature Title
mac` ACS 22-00-0001
for FRED BANKS (800) $29-3903
(NOTE: Certificate of offirer 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 t -Kept By Recording Office Form b68(Y)(c) 4Rev. 2-20041
CAT. NO 60025X