HomeMy WebLinkAbout12-4342Form 668 (Y)(c)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Lice
SMALL BUSINESS/SELF EMPLOYED AREA #1
Lien Unit Phone: (800) 913-6050 880114412
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
property belonging to this taxpayer for the amount of these taxes, and c
additional penalties, interest, and costs that may accrue. 'n
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Name of Taxpayer WILLIAM D SHERTZER VP
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Residence
144 PEACH LN a
CARLISLE, PA 17015-7809 G ZF:;
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RELEASE INFORMATION: For each assessment listed below, crt
the lien is refiled by the date given in column (e), this notice shall,
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owing such date, operate as a certificate of release as defined
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Tax Period Date of Last Day for Unpaid Bala nce
Kind of Tax Ending Identifying Number Assessment Refiling of Assessm ent
(a) (b) (c) (d) (e) (f)
1040 12/31/2008 XXX-XX-5997 04/16/2012 05/16/2022 73 79.53
Place of Filing
Prothonotary
Cumberland County Total $ 7371 9.53
Carlisle, PA 17013 i
This notice was prepared and signed at _ DETROIT, MI on this,
06th July 201.2
the day of ?'
Signature
\ Title
ACS SBSE 21-0 0008
for P.A. BELTON (800) 829-3903 II
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tai lien
Rav_ Rul_ 71-466 1971 - 9 C. R AM
Form 668(Y)(
Part 1 -Kept By Recording Office c) (Rev; 2-2004)
CAT. NO 60025X