HomeMy WebLinkAbout12-3096-i 15b --
Department of the Treasury - Internal Revenue Service
Form 668 MW
(Rev. February 2004) Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 866170612 ?a- /
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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
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property belonging to this taxpayer for the amount of these taxes, and
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penalties, interest, and costs that may accrue. -<> Z S `
Name of Taxpayer MARY JO FABIANKOVITZ
Residence 50 S ENOLA DR - ' `
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ENOLA, PA 17025-2704
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, 4a,l, 5O Pp e-r-
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a)
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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)
1040 12/31/2007 XXX-XX-6440 02/20/2012 03/22/2022 2253.22
1040 12/31/2010 XXX-XX-6440 04/23/2012 05/23/2022 17270.12
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ($ 19523.34
This notice was prepared and signed at
the 07th day of may
DETROIT, MI
2012
on this,
Signature Title
?\C-4a-G. REVENUE OFFICER 22-06-1407
for SEAN DUNLEAVY (717) 777-9626
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rut. 71-466, 1971 - 2 C.B. 409)
Part 1 - Kept By Recording Office CAT. 668( (Rev. 2 20041
CAT. NO 60025X