HomeMy WebLinkAbout12-6682Form 668 (Y)(c)
IRev. February 20041
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: (S00) 913-6050 901271312
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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. n t~4
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Name of Taxpayer GREGG A DICE & KELLY AMAXWELL-DICE „~,~~ N ....~
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Residence 332 10TH ST ~
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NEW CUMBERLND , PA 17 0 7 0 -13 0 6 r
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, ~,
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unless notice of the lien is refiled by the date given in column (e), this notice shall,
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on the day following such date, operate as a certificate of release as defined ~ ""~ ~
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in IRC 6325(a). Iw' ~~~~~ -<
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 12/31/2011 XXX-XX-5094 05/28/2012 06/27/2022 6928.91
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 6928.91
This notice was prepared and signed at DETROIT, MI
the 19th day of October 2012
on this,
Signature ~~~ ACS SBSE 22-00-0008
for G.J. `CARTER\-LOUIS (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 sY Recording Office Form 668(Y)(c) IRev. 2-20041
CAT. NO 60025X