HomeMy WebLinkAbout11-0185Form 668 (Y)(c)
fRev. February 2004)
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BI7SINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 738178710 ~~ ~ /l~ r-~L
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As provided by section 6321, 6322, and 6323 of the Internal Revenue ?f
Code, we are giving a notice that taxes (including interest and penalties)
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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, -~ `" ~, -r
there is a lien in favor of the (Inited States on all property and rights to ~ ~ ~ Ip'~ r=-
property belonging to this taxpayer for the amount of these taxes, and ~, ~ '"~ v
additional
penalties, interest, and costs that may aarue. ~ ~ o ~ ~,
N
f T 'c"' ""a
-ri
ame o
axpayer KARL E ROMINGER = +:
Residence PO BOX 114 8 ~~~" ~`~ _~~
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CARLISLE, PA 17013-6148
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (e1, this notice shall, ~
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on the day following such date, operate as a certificate of release as defined ~~
Pd ° ~= x~luB G~~
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in IRC 63251a). a ~
Tax Period Date of Last Dar~rr for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2000 XXX-XX-1687 07/30/2007 08/29/2017 67576.11
1040 12/31/2002 XXX-XX-1687 07/30/2007 08/29/2017 6171.31
1040 12/31/2004 XXX-XX-1687 07/30/2007 08/29/2017 51927.80
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 125675.22
This notice was prepared and signed at DETROIT, MI
the 31st day of December 2010
on this,
Signature ~ Title
ACS 22-00-0001
for FRED BANKS (800) 829-3903
(MOTE: 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 668(Y)(c) IRev. 2-20041
Part 1 -Kept BY Recording Of'ffice CAT. NO 60025x