HomeMy WebLinkAbout11-0171Eorm 668 (Y)(c)
fRev. Fetrruary 2a04)
522
Department of the Treasury -internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BIJSINESSfSELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 733877210
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s prov
ded by section 6321, 6322, and 6323 of the Internal Revenue
Cade, 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 iiabiiity, but it remains unpaid. Therefore,
there is a lien in favor of the united States on aii property and rights to
property belonging to this taxpayer for the amount of these taxes, and `-
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additional penalties, interest, and costs that may accrue. ,
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Name of Taxpayer SANDRA K MILLER ~~~ -,~r~.,-,:
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Residence 173 JUMPER RD ~
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NEWBURG PA 17240-9386 ~°~ ~ -`~T~-'
IMPORTANT RELEASE INFORMATION; For each assessment listed below, n { w. ~ `'
unless notice of the lien is refiled by the date given in column {e), this native shall, ~7 ,~(~ ,,,/ , ,~~l:GGc
an the day following such date, operate as a certifirate of release as defined J'°`
in IRC 6325{a). ~ 5 3 [~~,
Tax Period Date of Last Dayy for unpaid Baiance
Kind of Tax Ending identifying Number Assessment Refiting of Assessment
(a) (b) (c (d) (e) (f)
1040 12/31/2001 XXX-XX-5864 12/24/2007 0:1/23/2018 8596.28
1040 12/31/2003 XXX-XX-5864 12/24/2007 0:1/23/2018 7210.03
1040 12/31/2004 XXX-XX-5864 08/1$/2008 0'a/17{2018 21942.76
1040 12/31/2005 XXX-XX-5864 04/20/2009 05/20/2019 9937.92
1040 12/31/2006 XXX-XX-5864 04/20/2009 0'5/20/2019 21972.09
1040 12/31/2007 XXX-XX-5864 04/12/2010 05/12/2020 17929.93
Place of Filing
Total I$ 8 7 5 8 9.01
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI
the 17th day of December 2010
on this,
Signature ~~ Title
ACS 22-00-0001
for FRED BANKS "- -~-, { 8 0 0} 8 2 9- 3 9 0 3
(NOTE: Certificate of officer authorized by law to take acknowledgment is rant essential to the valicllty of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C,B. 409! Forrrr 66$(Y)(c) iRev. 2-2004)
Part 1 -Kept ey Recording Office CAT. NO BOQ25X