HomeMy WebLinkAbout11-1132Form 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 746502211 113
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, C: C= -r•1
there is a lien in favor of the United States on all property and rights to M oho
-
property belonging to this taxpayer for the amount of these taxes, and rrl M
CO r
n
r
additional penalties, interest, and costs that may accrue. n ',
m
-
Name of Taxpayer CHANDULAL & RAJSHREE PANCHAL '
C-j CD-n
Residence 1155 HARRISBURG PIKE
CARLISLE, PA 17013-1669
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, ?d
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 R efiling of Assessment
(a) (b) (c) (d) (e) M
1040 12/31/2009 XXX-XX-7905 05/24/2010 06/23/2020 45375.05
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 45375.05
This notice was prepared and signed at
DETROIT, MI
the 25th day of January 2011
, on this,
Signature Title
ACS W&I 11-00-0000
for DEBRA K. HURST (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)
Part 1 - Kept By Recording Office CAT. 668( (Rev. 2 20041
CAT. NO 60025X