HomeMy WebLinkAbout12-3674 11883
Department of the Treasury - Internal Revenue Service
Form 668 (2)04)
Notice of Federal Tax Lien
(Rev. February 2004)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903 872393212 ?L
As provided by section 6321, 6322, and 6323 of the Internal Revenue 6-741
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the folbwing-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 *y
property belonging to this taxpayer for the amount of these taxes, and `-°3--=
c?
additional penalties, interest, and costs that may accrue. ' '
Name of Taxpayer BRENDA KIRSCHMAN
Residence 424 SPRING HOUSE RD ?_
CAMP HILL, PA 17011-1452 ' r-`t
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). eft d? 71/
Tax Period Date of Last Daa???? for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refllln9 of Assessment
1040 12/31/2007 XXX-XX-9919 02/21/2011 03/23/2021
1040
1 12/31/2008
1 XXX-XX-9919 1 02/21/2011 03/23/2021
1040 12/31/2008 XXX-XX-9919 02/21/2011 03/23/2021
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
4094.81
29341.32
Total 1$ 33436.13
This notice was prepared and signed at DETROIT, MI
the 05th day of June 2012
, on this,
Signature \ \?? ACS SBSE 22-00-0001
for P.A. B`ELTON` (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 668M(c) (Rev. 2-2004)
Part 1 - Kept By Recording Office CAT. NO 60025X