HomeMy WebLinkAbout12-6046Form 668 (Y)(c)
IRev. February 2004)
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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) 829-3903 893917912 _ -~'~
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As provided by section 6321, 6322, and 6323 of the Internal Revenue '
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Code, we are giving a notice that taxes (including interest and penalties) ;~~, ~ ~'
have been assessed against the following-named taxpayer. We have made -~~; `~, "~
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a demand for payment of this liability, but it remains unpaid. Therefore, E ;» ~ ~
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there is a lien in favor of the United States on all property and rights to ~ ~ ~ = ~ `-_
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property belonging to this taxpayer for the amount of these taxes, and ~' y _ ~ ~:=
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additional penalties, interest, and costs that may accrue. r~' -p =~: -;-,
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Name of Taxpayer ALAN R & GLORIA J HASSMAN ;,~~,_
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Residence 3610 LOGAN CT UNIT 6B ~
CAMP HILL, PA 17011-2737
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiied by the date given in column (el, this notice shall, ~ j.s2? „~ . L j'
on the day following such date, operate as a certificate of release as defined
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IRC 6325(
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Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2010 XXX-XX-9404 11/21/2011 12/21/2021 79723.69
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 79723.69
This notice was prepared and signed at
the 14th day of September
DETROIT, MI
2012
on this,
Signature ~ Title
for
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P.A. BECTON (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 Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X