HomeMy WebLinkAbout12-3102Form 668 (Y)(c)
(Rev. February 2004)
4804
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
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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 17) `
a demand for payment of this liability, but it remains unpaid. Therefore,
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there is a lien in favor of the United States on all property and rights to °*s
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property belonging to this taxpayer for the amount of these taxes, and m?
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additional penalties, interest, and costs that may accrue. r-
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Name of Taxpayer TERESA E LAUGHMAN c
Residence 12 OAK RIDGE RD `--
CARLISLE, PA 17015-9710 -°
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,
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on the day following such date, operate as a certificate of release as defined
in IRC 6325(a). IdIx of 15 31(o
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
6672 06/30/2009 XXX-XX-9983 09/05/2011 10/05/2021 2652.60
6672 09/30/2009 XXX-XX-9983 09/05/2011 10/05/2021 3159.45
6672 12/31/2009 XXX-XX-9983 09/05/2011 10/05/2021 5910.84
6672 09/30/2010 XXX-XX-9983 09/05/2011 10/05/2021 3576.56
6672 12/31/2010 XXX-XX-9983 09/05/2011 10/05/2021 3576.56
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1$ 18876.01
This notice was prepared and signed at
the 02nd day of May
DETROIT, MI
2012
, on this,
Signature Title
\C-14-t 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. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X