HomeMy WebLinkAbout11-8212Form 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 42
Lien Unit Phone: (800) 913-6050 822806311
As provided by section 6321, 6322, and 6323 of the Internal Revenue 7L
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 '
,
additional penalties, interest, and costs that may accrue. = - f^...
Name of Taxpayer BARBARA A ARENTZ
Residence
475 GARDEN DR `-
••
MECHANICSBURG, PA 17055-5459 - C_+J
ASE INFORMATION: For each assessment listed below,
n is refiled by the date given in column (e), this notice shall,
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177 L??
such date, operate as a certificate of release as defined ?
6325(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Ta
x
Ending
Identifying Number
Assessment
Refiling
of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2003 XXX-XX-7596 04/24/2006 05/24/2016 1093.78
1040 12/31/2004 XXX-XX-7596 11/09/2009 12/09/2019 2811.88
1040 12/31/2005 XXX-XX-7596 11/09/2009 12/09/2019 38931.74
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 42837.40
This notice was prepared and signed at
the 20th day of October
DETROIT, MI
2011
, on this,
Signature Title
ACS W&I 11-00-0000
for DEBRA K. HURST -4 (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. 2 2004)
CAT. NO 60025X