HomeMy WebLinkAbout11-3679Form 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
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050
772308811 Q
As provided by section 6321, 6322, and 6323 of the Internal Revenue j9.G o
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,
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ere 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
additional penalties, interest, and costs that may accrue.
Name of Taxpayer CLYDE DECD & THERESE D KING
mi- -n
THERESE D KING Z=
Residence 135 SLIMMER LN r- --Z ?CD
ENOLA, PA 17025 ? 22W Z?
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IMPORTANT RELEASE INFORMATION: For each assessment listed below r"
,
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).
Kind of Tax Tax Period
Ending
Identifying Number Date of
Assessment Last Day for
Refiling Unpaid Balance
of Assessment
(a) (b) . (c) d (e) (f)
1040 12/31/2002 XXX-XX-2275 02/21/2011 03/23/2021 12908.73
1040 12/31/2005 XXX-XX-2275 10/11/2010 11/10/2020 7995.98
1040 12/31/2007 XXX-XX-2275 10/11/2010 11/10/2020 6694.28
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 27598.99
This notice was prepared and signed at
the 31st day of March
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 66SM(c) (Rev. 2-2004)
Part 1 - Kept By Recording Oiiice CAT. NO 60025X