HomeMy WebLinkAbout10-7634Farm bb8 (Y)(c)
(Rev. February 2004)
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
Area; Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650 727230510
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As provided by section b321, 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 far payment of this liability, but it remains unpaid. Therefore,
there is a lien in favor of the united States an all property and rights to
property be[anging to this taxpayer far the amount of these taxes, and c~ :.,, c~
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additional penalties, interest, and costs that may accrue. `~~ c:a --~
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Name of Taxpayer REJEAN MORIN ~
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Cfar`-' `vim
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Residence 1550 WILLIAMS GROVE RD LOT 68 ~~ ~ ^~
MECHANICSBURG, PA 17055-9799 ~~ ~.:.,.,.
IMPORTANT RELEASE INFORMATION: For each assessment listed below, d~ ~
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unless notice of the Tien 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 ~''/,i~ G
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in lRC 6325(a). a5~ 30~j
Tax Period Date of Last Dayy for C[npaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
{a) {b) (c) (d) (e) (f)
1040 12/31/2004 XXX-XX-3463 12/11/2006 01/10/2017 5644.34
1040 12/31/2005 XXX-XX-3463 12/11/2006 01/10/2017 3219.89
1040 12/31/2006 XXX-XX-3463 01/04/2010 02/03/2020 7302.99
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17.013
Total ~ $ 1616 7 . 2 2
This notice was prepared and signed at
the 02nd day of December
DETROIT, MI
2010
, on this,
Signature tt` Title
ACS 11-00-0000
for DEBRA K. HURST (800} 829-7650
(NOTE: Certificate of officer authorized by law to take acicnawledgment is not essential to the validity of Notice of Federal Tax lien
Rev. RuI. 71-466, 1971 - 2 C.B. 409) Form bb8(Y)(c) (Rev. 2-20041
Part t -Kept gy Recording Office CAT. NO 60025X