HomeMy WebLinkAbout12-7735 11883
Department of the Treasury -Internal Revenue Service
Form 668 (Y)(c)
Notice of Federal Tax Lien
(Rev. February 2004)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 912333012
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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 fo{lowing-named taxpayer. We have nnade ,.,~,
a demand for payment of this liability, but it remains unpaid. Therefore, ~ =--~'
there is a lien in favor of the lJnited States on all property and rights to ~, ~
property belonging to this taxpayer for the amount of these taxes, and ~ `-,'' L.1; ~ r°
additional penalties, interest, and costs that may accrue. cam-
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Name of Taxpayer DONALD J KARASCHAK .
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Residence 520 MOORE5 MT ROAD ~ .,~-
MECHANICSBURG, PA 17055-6035 -~'
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column te), this notice shall, ~/,S~
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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 D for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi~g of Assessment
(a) (b) (c) (d (e)
1040 12/31/2010 XXX-XX-1287 05/30/2011 06/29/2021 1005.81
1040 12/31/2011 XXX-XX-1287 05/28/2012 06/27/2022 623.32
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~ $ 16 2 9.13
This notice was prepared and signed at
DETROIT, MI
the 17th day of December 2012
on this,
Signature /'-~~ Title
~C-~ca-G. REVENUE OFFICER 22-06-1418
for JAKOB PEDERSEN (717) 777-9621
(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(lt7(c) (Rev. 2-20041
Part 1 -Kept By Recording Of>Fice CAT. NO 60025X