HomeMy WebLinkAbout12-7327Form 668 (Y)(c)
(Rev. February 2004)
Notice of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 907787212
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a mice 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 bebnging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
ame of Taxpayer
Residence 832 LISBURN RD
CARLISLE, PA 17015-9230
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,
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
Kind of Tax
6672
6672
6672
6672
6672,
6672
6672
6672
6672
6672
6672
6672
6672
6672
6672
Place of Filing
Department of the Treasury -Internal Revenue Service
Identifying Number
(c)
XXX-XX-3210
XXX-XX-3210
XXX-XX-3210
XXX-XX-3210
XXX-XX-3210
XXX-XX-3210
XXX-XX-3210
XXX-XX-3210
XXX-XX-3210
XXX-XX-3210
XXX-XX-3210
XXX-XX-3210
XXX-XX-3210
XXX-XX-3210
XXX-XX-3210
Date of
Assessment
10/13/2008
10/13/2008
10/13/2008
10/13/2008
10/13/2008
10/13/2008
10/13/2008
10/13/2008
10/13/2008
10/13/2008
10/13/2008
10/13/2008
10/13/2008
10/13/2008
10/13/2008
For
Use by Recording Office
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Last Dayy for
Refiling
(e)
11/12/2018
11/12/2018
_11/12/2018
11/12/2018
11/12/2018
11/12/2018
11/12/2018
11/12/2018
11/12/2018
11/12/2018
11/12/2018
11/12/2018
11/12/2018
11/12/2018
11/12/2018
3661.97
9982.72
11784.70
10205.02
9647.30
9100.55
10476.33
8378.69
9730.90
8884.26
11270.79
11186.04
8897.11
13101.94
8647.11
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 144955.43
This notice was prepared and signed at
the 21st day of November
DETROIT, MI
2012
on this,
Signature Title
~ ~~~~~ ACS W&I 11-00-0000
for DEBRA K. HURST (800) 829-7650
Tax Period
Ending
03/31/2001
06/30/2001
09/30/2001
12/31/2001
03/31/2002
06/30/2002
09/30/200a
12/31/2002
03/31/2003
06/30/2003
09/30/2003
12/31/2003
03/31/2004
06/30/2004
09/30/2004
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Unpaid Balance
of Assessment
(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