HomeMy WebLinkAbout11-0838Form 668 (Y)(c)
(Rev. February 2004)
11883
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 743685111
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,
there is a lien in favor of the United States on all property and rights to
property belonging to this taxpayer for the amount of these taxes, and rna+ L- =:-n
additional penalties, interest, and costs that may accrue. =M ? -1 vm
Name of Taxpayer ROBERT E PEAHL -<2- N (D=
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Residence 611 FISHING CREEK RD 3
NEW CUMBERLND, PA 17070-3007 C5
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien 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
in IRC 6325(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2002 XXX-XX-3069 05/19/2008 06/18/2018 2343.05
1040 12/31/2007 XXX-XX-3069 03/22/2010 04/21/2020 4023.61
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 6366.66
This notice was prepared and signed at
the 18th day of January
DETROIT, MI
2011
, on this,
Signature Title
ACS 11-00-0000
for DEBRA K. HURST -4 (800) 829-7650
(NOTE: 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) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X