HomeMy WebLinkAbout12-0582Form 668 (Y)(c)
(Rev. February 2004)
3460
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 #2
Lien Unit Phone: (800) 829-3903 844577012
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 -,? 7Z
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property belonging to this taxpayer for the amount of these taxes, and '
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additional penalties, interest, and costs that may accrue. ' z== tY
Name of Taxpayer WILLIAM G ADAMS & ROSEMARIE REDMOND r,. - r
Residence
6803 SALEM PARK CIR
MECHANICSBURG PA 17050
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 define
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I 6325(
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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) M
1040 12/31/2010 XXX-XX-1132 11/21/2011 12/21/2021 6587.11
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
Total 1 $ 6587.11
the 24th day of January 2012
, on this,
Signature Title
Lr` 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) Form 668(Y)(c) (Rev. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X