HomeMy WebLinkAbout12-6680Form 668 (Y)(c)
lRev. February 20041
60
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650 900580712
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
additional penalties, interest, and costs that may accrue.
Vame of Taxpayer DONALD D WINGARD
Residence 5 04 N MARKET ST
MECHANICSBURG, PA 17055-3347
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (el, this notice shall, ~,/ ~~ .7.-
on the day following such date, operate as a certificate of release as defined o?/~'~ /w`
in IRC 6325(a1. ~Q~c.,~y- ~~ ~
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Tax Period Date of last Dayy for lJnpaid Balance
Kind of Tax Ending Identifying Number Assessment Reflling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2010 XXX-XX-1941 05/30/2011 06/29/2021 2192.75
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
For Oational Use
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Total ~ $ 2192.75
This notice was prepared and signed at DETROIT, MI
the 18th day of October 2012
on this,
Signature ~c~-~ ACS W&I 11-00-0000
for DEBRA K. HURST (800) 829-7650
(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. 4091 Form 668(Y)(c) (Rev. 2-2004)
Part 1 -Kept BY Recording Office CAT. NO 60025X