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HomeMy WebLinkAbout11-6923522b Form 668 (Y)(c) Department of the Treasury - Internal Revenue Service (Rev. February 2004) 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 811045611 As provided by section 6321, 6322, and 6323 of the Internal Revenue I g?? 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 a p = `71 , additional penalties, Interest, and costs that may accrue. mco --i Name of Taxpayer TRAVIS T STELZER ? c"o z -p -.r- C:' Residence 807 WELLINGTON DR >C-) 3 q CARLISLE, CARLISLE, PA 17013 z? --Z RELEASE INFORMATION: For each assessment listed below , unless notice of the lien is refiled b the date by given in column (e), this notice shall, on the day following such date, operate as a certificate of release as defined -`? /q ©?'Gl in IRC 6325(a). A? vZ? y 7 Tax Period Date of Last Dayy for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refiling of Assessment (a) (b) (c) (d) (e) M 1040 12/31/2004 XXX-XX-7678 03/16/2009 04/15/2019 11092.96 dace of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total 1 $ 11092.96 This notice was prepared and signed at DETROIT, MI the 30th day of August 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) Part 1 - Kept By Recording Office Form 668(Y)(c) (Rev. 2-2004) CAT. NO 60025X