HomeMy WebLinkAbout11-0168Form 668 (Y)(c)
tRev. February 2004}
bepartment of the Treasury -Internal Revenue Service
I~totice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BTJSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (Soo) 829-3903 733312:910 ' j _'/ ~j
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AS provided by section b321, 6322, and 6323 of the Internal Revenue O
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Cade, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made ,-
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a demand for payment of this liability, but it remains unpaid. Therefore, -
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there is a lien in favor of the United States on alt property and rights to -"~'~' ==7
property belonging to this taxpayer for the amount of these taxes, and ~m :~ ~-=~
additional penalties, interest, and costs that may accrue. ~~ ~ -'v'im
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Name of Taxpayer ALAN C & SHARON S SKELLY ~
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Residence 3 21 E MEADOW DR ° -i
MECHANICSBURG, PA 17055-5168 ry
IMPORTANT RELEASE INFORMATION: Far each assessment listed below,
unless notice of the lien is refiled by the date given in column (e-, this notice shall,
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on the day following such date, operate as a certificate of release as defined ~C! -~~ f'~ ~ ~l;
in IRC 6325(a). a ~3 y~~
Tax Period Date of Last Dayy for Elnpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi[ing of Assessment
(a) (b) (c) (d) (e) {f)
1040 12/31/2007 XXX-XX-8832 08/23/2010 09/22/2020 37673.31
1040 12/31/2008 XXX-XX-8832 08/23/2010 09/22/2020 16776.16
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 54449.47
This notice was prepared and signed at
the 16th day of December
DETROIT, MI
2010
, on this,
Signature ~ Title
ACS 22-00-0001
far FRED BANKS {g00} g29-3g03
(NOTE: Certificate of officer authorized by law ro take acknowledgment is not essential t:a the validity of Notice «f Federal Tax lien
Rev. Rul. 71-4fifi, 1971 - 2 C.B. 409) Form 668(Yj(C) (Rev. 2-2004)
Part t -Kept By RetarQing Offfee CAT. NO 60025X