HomeMy WebLinkAbout11-8121Form 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
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650 820928311
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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 N
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
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Name of Taxpayer JOHN A OSBORN II
Residence 76 E LOUTHER STREET '
CARLISLE, PA 17013-3024
IMPORTANT RELEASE INFORMATION: For each assessment listed below, ,
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unless notice of the lien is refiled by the date given in column (e), this notice shall, ?
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on the day following such date, operate as a certificate of release as defined
in IRC 6325(a). (yG j? 3
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2004 XXX-XX-0813 03/30/2009 04/29/2019 4912.13
1040 12/31/2005 XXX-XX-0813 03/30/2009 04/29/2019 17162.41
1040 12/31/2006 XXX-XX-0813 12/07/2009 01/06/2020 15642.99
1040 12/31/2007 XXX-XX-0813 11/01/2010 12/01/2020 3076.62
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 40794.15
This notice was prepared and signed at DETROIT, MI
the 14th day of October 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)
Part 1 - Kept By Recording Office CAT. 668( (Rev. 22004)
CAT, NO 60025X