HomeMy WebLinkAbout11-3681Form 668 (Y)(c)
(Rev. February 2004)
26
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 ?-/
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Lien Unit Phone: (800) 829-3903 772379511
As provided by section 6321, 6322, and 6323 of the Internal Revenue oo _ Incl. Cl cl w•z &bt
Code, we are giving a notice that taxes (including interest and penalties) T.?.av.
have been assessed against the following-named taxpayer. We have made IZ
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a demand for payment of this liability, but it remains unpaid. Therefore, o
-
there 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. 3 = - $
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Name of Taxpayer DANIEL R HESS SR *1 rn-n
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Residence 18 W KING ST APT 1 -<? s„
SHIPPENSBURG, PA 17257-9234 --
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,
on the day following such date, operate as a certificate of release as defined
in IRC 325(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Ref iling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2003 XXX-XX-8964 07/21/2008 08/20/2018 10293.57
1040 12/31/2006 XXX-XX-8964 09/17/2007 10/17/2017 729.63
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 11023.20
This notice was prepared and signed at
DETROIT, MI
the 01st day of April 2011
, on this,
Signature Title
mac` ACS SBSE 22-00-0001
for FRED BANKS (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( (Rev. 2 20041
CAT. NO 60025X
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