HomeMy WebLinkAbout11-3271Form 668 M(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
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 767091511
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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) r- c --n
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, Zw f= -n
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there is a lien in favor of the United States on all property and rights to Zm
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property belonging to this taxpayer for the amount of these taxes, and air n =C:)
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additional penalties, interest, and costs that may accrue. r-z -
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Name of Taxpayer TERRIE A WISER
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Residence 399 CARLISLE RD Ln
NEWVILLE, PA 17241-9545
EASE INFORMATION: For each assessment listed below
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ien is refiled by the date given in column (e), this notice shall,
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g such date, operate as a certificate of release as defined
6325(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
941 12/31/2000 25-1869462 12/18/2006 01/17/2017 45590.64
941 03/31/2001 25-1869462 12/18/2006 01/17/2017 30668.95
941 09/30/2002 25-1869462 12/30/2002 01/29/2013 31088.87
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 107348.46
This notice was prepared and signed at DETROIT, MI
the 1- - 7th day of March 2011
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, on this,
Signature Title
?L" ACS SBSE 22-00-0001
for FRED BANKS -4? (800) 829-3903
(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( N (Rev. 2 2004)
CAT. NO 60025X
IV