HomeMy WebLinkAbout11-7683Form 668 (Y)(c)
(Rev. February 20041
11883
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA ##1
Lien Unit Phone: (800) 829-7650 816116011
-
-
h r 76 F::?
7
3
L
As provided by section 6321, 6322, and 6323 of the Internal Revenue j
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 c:: -`
additional penalties, interest, and costs that may accrue.
-
rrl CD C:D
r,
Name of Taxpayer SHARON J BURKS
:n Xa C7
?
-1 >
Residence 801 S MARKET ST APT B Ma -
MECHANICSBURG PA 17055-4747 '
NT RELEASE INFORMATION: For each assessment listed below, -
e of the lien is refiled by the date given in column (e), this notice shall,
F
'
following such date, operate as a certificate of release as defined ?? •?G
?' - /
5(a).
IRC
Tax Period Date of Last Day f or Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2009 XXX-XX-7136 05/24/2010 06/23/2020 4617.26
1040 12/31/2010 XXX-XX-7136 05/23/2011 06/22/2021 9330.92
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 13948.18
This notice was prepared and signed at
the 22nd day of September
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)
Department of the Treasury - Internal Revenue Service
Part 1 - Kept By Recording Office Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X