HomeMy WebLinkAbout12-4923Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c)
(Rev. February 2004) Notice of Fedwal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 88 111112
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and nakies)
have been assessed against the following-named taxpayer. We ve made
a demand for payment of this liability, but It remains unpaid. ore,
there Is a lien in favor of the United States on all property and ghts to
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property belonging to this taxpayer for the amount of these es, and -OZ ;
additional penalties, Interest, and costs that may accrue.rnft- a.
,
Name of Taxpayer KARL E ROMINGER
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Residence 155 S HANOVER ST ,
CARLISLE, PA 17013-3455
IMPORTANT RELEASE INFORMATION: For each assessment list d below,
unless notice of the lien is refiled by the date given in column (e), this no ice shall, %?
on the day following such date, operate as a certificate of release a defined f
in IRC 6325(a). )&*
Tax Period Date of Last Day for Unpaid Ba nce
Kind of Tax Ending Identifying Number Assessment Refilh?g of Assess nt
(a) b) c (d e
1040 12/31/2007 XXX-XX-1687 07/16/201 08/15/2022 37 59.32
Place of Filing
Prothonotary
Cumberland County Total $ 370 9.32
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI ! on this,
the 31st day of July 2012
Signature Title
REVE E OFFICER 22-0 -1407
for SEAN DUNLEAVY (717) 777-9626
(NOTE: Certificate of officer authorized by law to take acknowledgment is no essential to the validity of Notice of Federal T x lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409)
Form 668(Y)(c) (Rev. 2-2004)
Part 1 - Kept By Recording O(lice CAT. NO 60025X