HomeMy WebLinkAbout11-4095Form 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) 829-3903 780050311
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,
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 rrnt" :X
additional penalties, interest, and costs that may accrue. ?r rn
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Name of Taxpayer COREY A HARNER -?
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Residence 266 LOWTHER ST '
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LEMOYNE, PA 17043-2013
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, ?g ?d T
on the day following such date, operate as a certificate of release as defined
o
n I 6325(a).
i ?2 3'4f *
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending ldent"ng Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) M
1040 12/31/2003 XXX-XX-4583 05/26/2008 06/25/2018 11601.79
1040 12/31/2004 XXX-XX-4583 04/27/2009 05/27/2019 10153.89
1040 12/31/2005 XXX-XX-4583 04/27/2009 05/27/2019 6664.05
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 28419.73
This notice was prepared and signed at DETROIT, MI
the 26th day of April 2011
, on this,
Signature Title
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) Form 668(Y)(c) (Rev. 2-2004)
Part I - Kept By Recording Office CAT. NO 60025X