HomeMy WebLinkAbout10-7464Form bb8 (Y)(c)
IRev. February 2x041
11883
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number
WAGE & INVESTMENT AREA ##1
Lien Unit Phone: (8oe} 829-7650 725671710
As provided by section b32t, b322, and b323 of the Internal Revenue
Gode, we are giving a notice that taxes (inciuding interest and penalties)
have been assessed against the following-named taxpayer. We have made
a demand for payment of thin gabiiity, but it remains unpaid. Therefore,
there is a [ten in favor of the Elnited States on aii 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
NGO
Residence PO BOX 580
SHIPPENSBURG, PA 17257-0580
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 follawirtg such date, operate as a certificate of release as defined
in IRC 6325{a).
For Oational Use by Recording (Jttice
o
~~ ~°, ~
~
2 ~ e~~ ~r~
-'
tn~ ~
w ~~~.
~~
~ a fl~
~~
~ t'~
~, ~ ~
m
:~ _ --t
_~ ~ ~
_,;
,~.t~ aSi9oG
Tax Period Date of Last Dayy for unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1997 XXX-XX-2212 08/06/2001 09/05/2011 4817.18
Place of Filing
Prothanatary
Cumberland Caunty
Carlisle, PA 17013
Total ~ $ 4 817.18
This notice was prepared and signed at ~_ DETROIT, MI
the 26th day of November 2010
on this,
Signature J~LCr Title
ACS 11-00-0000
far DEBRA K. HURST X800) 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 b68(Y)(c) IRev. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X