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HomeMy WebLinkAbout12-5208Form 668 (Y)(c) (Rev. February 2004) 11883 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 Lien Unit Phone: (800) 913-6050 887576512 ?? ?a©? ?T? - As provided by section 6321, 6322, and 6323 of the Internal Revenue f 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 additional penalties, interest, and costs that may accrue. ?...:?., -... .. , ? ` Name of Taxpayer DUANE L SHOPE r < ?' Residence 52 SCARSDALE DR ter, - CAMP HILL, PA 17011-7938 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, al-? •j on the day following such date, operate as a certificate of release as defined i IRC 6325( ) c ? n a . Tax Period Date of Last Day for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Reining of Assessment (a) (b) (c) (d) (e) (f) 1040 12/31/2009 XXX-XX-3591 07/23/2012 08/22/2022 6451.71 1040 12/31/2010 XXX-XX-3591 07/23/2012 08/22/2022 6660.73 Place of Filing Prothonotary Cumberland County Carlisle, PA 17013 Total 1 $ 13112.44 This notice was prepared and signed at the 13th day of August DETROIT, MI 2012 , on this, Signature Title REVENUE OFFICER 22-06-1418 for JAKOB PEDERSEN (717) 777-9621 (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