HomeMy WebLinkAbout10-7700Farm 668 (Y)(c)
(Rev. February 2004}
883
Department of the Treasury - internal Revenue Service
Notice of Federal Tax Lien
Serial Number For Optional use by Recording Office
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 728899110
77D0 ~ ~ L
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As provided by section 6321, 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 for payment of this liability, but it remains unpaid. Therefore, ~? o °
there is a lien in favor of the United States on alt property and rights to ~ ~, -+
property belonging to this taxpayer for the amount of these taxes, and ~ ~ ~ M-,
additional penalties, interest, and costs that may accrue. `. s1~ <:-~ ~o
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Name of Taxpayer JAMES R STOLTZ SR -
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Residence 147 A ST ~c ~
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CARLISLE, PA 17013-1903 `=o w ~'
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IMPORTANT RELEASIs INFORMATION: Far each assessment listed below,
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unless notice of the Tien is refiled by the date given in cotumn (e), t ~
on .the day following such date, operate as a certificate of release as defined
IRC 6325(
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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 12/31/2005 XXX-XX-5706 10/13/2008 11/12/2018 14636.50
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 14636.50
This notice was prepared and signed at
the 07th day of December
DETROIT, MI
2010
on this,
Signature ar/ ~'` ACS 22-00-0001
for FRED BANKS {800) 829-3903
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the va{idity of Notice of Federal Tax lien
Rev. Rul. 71-466, t 971 - 2 C.B. 4091 Form 668(Y)(t) (Rev. 2-2004)
Part 1 -Kept By Recording Ofl`ice CAT. ND 60025X