HomeMy WebLinkAbout12-4431Form 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 Office
SMALL BUSINESS/SELF EMPLOYED AREA #1
Lien Unit Phone: (800) 913-6050 880599412 _
As provided by section 6321, 6322, and 6323 of the Internal Revenue 7
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, m w c_. m
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there is a lien in favor of the united States on all property and rights to r
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property belonging to this taxpayer for the amount of these taxes, and -<> CD o
additional penalties, interest, and costs that may accrue. .. CD
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Name of Taxpayer MELVIN E & JUDITH MOHR _
Residence 16 W POMFRET ST
CARLISLE, PA 17013
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refilled by the date given in column lel, this notice shall,
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on the day following such date, operate as a certificate of release as defined
i
6
2
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n IRC
5(a).
3
;2
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2006 XXX-XX-0643 10/29/2007 11/28/2017 4621.44
1040 12/31/2007 XXX-XX-0643 11/03/2008 12/03/2018 4957.79
1040 12/31/2008 XXX-XX-0643 11/16/2009 12/16/2019 1663.70
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total 1 $ 11242.93
This notice was prepared and signed at
the 10th day of July
DETROIT, MI
2012
, on this,
Signature Title
\ C-.-c9-? ACS SBSE 21-00-0008
for P.A. BELTON (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)
Part 1 - Kept By Recording Office CAT. 668( (Rev. 2 20041
CAT. NO 60025X