HomeMy WebLinkAbout12-6782Form 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
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650 9031465:12 ~
~ 7 ~
As provided by section 6321, 6322, and 6323 of the Internal Revenue f a - ~ } ~~C~-
Code, we are giving a notice that taxes (including interest and penalties) ``~- ~ _'
have been assessed against the following-named taxpayer. We have made r~ ~ ~ ~ -
a demand for payment of this liability, but it remains unpaid. Therefore, ~~_ ~ ~~ rn ~ -
there is a lien in favor of the United States on all property and rights to `" ~ ~ ~ r'
property belonging to this taxpayer for the amount of these taxes, and ~'` = ~ ~' ~~:; ~._,
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additional penalties, interest, and costs that may accrue. ~; _ _
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Name of Taxpayer CAROL A BERNARDINI ~; ~_~_ %~ l_ -
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Residence 222 STATE STREET APT
WEST FAIRVIEW, PA 17025-3252
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, oZ ~ ~ ~ P~/ , G;
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 12/31/2001 XXX-XX-3525 07/10/2006 08/09/2016 1655.10
1040 12/31/2002 XXX-XX-3525 07/10/2006 08/09/2016 4635.72
1040 12/31/2004 XXX-XX-3525 12/22/2008 01/21/2019 5130.15
1040 12/31/2006 XXX-XX-3525 08/23/2010 09/22/2020 4812.75
1040 12/31/2007 XXX-XX-3525 08/23/2010 09/22/2020 5144.56
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 213 7 8. 2 8
This notice was prepared and signed at _ DETROIT, MI
the 30th day of October 2012
on this,
Signature ~-~.~ Title
\C--~-~ ACS W&I 11-00-0000
for DEBRA K. HURST (800j 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. ?l-466. 1971 2 C.R. 409)
Part t -Kept By Recording Office Form 668(Y)(c) (Rev. 2-20041
CAT. NO 60025X