HomeMy WebLinkAbout11-1684Form 668 (Y)(c)
(Rev. February 2004)
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 749761311
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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, _ u -
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there is a lien in favor of the United States on all property and rights to n
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property belonging to this taxpayer for the amount of these taxes, and 0
additional penalties, interest, and costs that may accrue. -<>
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Name of Taxpayer HANS P SAUL ?-n
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Residence 820 HIGHLAND CT Y
MECHANICSBURG, PA 17050-1818
IMPO
T RELEASE INFORMATION: For each assessment listed below,
unless of the lien is refiled by the date given in column (e), this notice shall,
on the ollowing such date, operate as a certificate of release as defined
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in IRC
6325(a).
S,sO 30
Tax Perio
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Date of
Last Day for
Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2007 XXX-XX-7937 02/08/2010 03/09/2020 2845.99
1040 12/31/2008 XXX-XX-7937 11/30/2009 12/30/2019 1233.92
1040 12/31/2009 XXX-XX-7937 06/14/2010 07/14/2020 1831.60
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 5911.51
This notice was prepared and signed at
the 02nd day of February
DETROIT, MI
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) Form 668(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X
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