HomeMy WebLinkAbout11-3277Form 668 (Y)(c)
(Rev. Februarv 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: (boo) 829-7650 767816211
As provided by section 6321, 6322, and 6323 of the Internal Revenue 11- 3 77 ?TL
Code, we are giving a notice that taxes (including interest and penalties) ,
have been assessed against the following-named taxpayer. We have made C
a demand for payment of this liability, but it remains unpaid. Therefore, "-" :Z-n
there is a lien in favor of the United States on all property and rights to rnrn =9 rrn---
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property belonging to this taxpayer for the amount of these taxes, and ='ta -Orn
additional penalties, interest, and costs that may accrue. wr n
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Name of Taxpayer IVAN Q AGUIGUI CQ 5-n
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Residence 122 VIRGINIA AVE A +
CARLISLE, PA 17013-1072 - "? -
E INFORMATION: For each assessment listed below
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refiled by the date given in column (e), this notice shall,
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operate as a certificate of rele
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Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Ref ilng of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1997 XXX-XX-1505 12%13/2004 01/12/2015 4507.27
1040 12/31/2001 XXX-XX-1505 11/22/2004 12/22/2014 3396.70
1040 12/31/2004 XXX-XX-1505 02/22/2010 03/23/2020 4113.53
Place of Filing
Prothonotary
Cumberland County Total $ 12017.50
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI
--------_ _ _------ _ - ------- ---_ , on this,
the 18th day of March 2011
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 I - Kept By Recording Office Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X