HomeMy WebLinkAbout11-8514Form 668 (Y)(c)
(Rev. February 2004)
883
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 826680211
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
additional penalties, interest, and costs that may accrue.
Name of Taxpayer CHRISTINE M METCALF
Residence 43 BURGNERS MILL RD
CARLISLE, PA 17015-0000
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,
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
For Optional Use by Recording Office
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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)
6672 12/31/2009 XXX-XX-0082 04/04/2011 05/04/2021 4983.86
6672 03/31/2010 XXX-XX-0082 04/04/2011 05/04/2021 12541.06
6672 06/30/2010 XXX-XX-0082 04/04/2011 05/04/2021 20607.17
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 38132.09
This notice was prepared and signed at
DETROIT, MI
the 04th day of November 2011
, on this,
Signature Title
= REVENUE OFFICER 22-06-1411
for DREW N DELENICK (717) 777-9619
(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 1 -Kept By Recording Office CAT. NO 60025X