HomeMy WebLinkAbout12-3098
Form 668 (Y)(c) Department of the Treasury - Internal Revenue Service
(Rev. February 2004) Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650 866384312 /a _ 30q8
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, ,
C w
=
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 ter'' ,.
,
additional penalties, interest, and costs that may accrue.
<> '
Name of Taxpayer MELVIN E EHLING r-- -a
;
Residence 1428 APPLE DR APT 198
MECHANICSBURG, PA 17055-3932 - -
IMPORNT RELEASE INFORMATION: For each assessment listed below,
unless ne of the lien is refiled by the date given in column (e), this notice shall,
: 4c'Ll. 50 PD ET
on the following such date, operate as a certificate of release as defined
in IRC 63
2
5(a). a?S311
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refili ng of Assessment
(a) (b) (c) (d) (e) M
1040 12/31/2010 XXX-XX-3863 05/30/2011 06/29/2021 11086.30
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 11086.30
This notice was prepared and signed at DETROIT, MI
the 08th day of May 2012
, on this,
Signature ATitle
CS 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) Form 668(Y)(c) (Rev. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X