HomeMy WebLinkAbout13-0014 11883
Department of the Treasury -Internal Revenue Serv ice
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 913844312 ,r _
As provided by section 6321, 6322, and 6323 of the Internal Revenue ~.-3 ~" l~/~/ /~ ~ ~"
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made o ~'_
a demand for payment of this liability, but it remains unpaid. Therefore, -m ~ "4.~~
there is a lien in favor of the United States on all property and rights to ~ °°°
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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 DENNIS L & KARIN M BURD ~
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Residence 651 PHEASANT RUN RD
HUMMELSTOWN, PA 17036-8502 -~K~
IMPORTANT RELEASE INFORMATION: For each assessment fisted below,
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unless notice of the lien is refiled by the date given in column le), this notice shall, ~~. ,S ZS ~ ~ -
on the day following such date, operate as a certificate of release as defined
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 12/31/2010 XXX-XX-7699 12/05/2011 01/04/2022 88958.71
1040 12/31/2011 XXX-XX-7699 11/19/2012 12/19/2022 7043.22
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 96001.93
This notice was prepared and signed at
DETROIT, MI
on this,
the 24th day of December
2012
Signature Title
~ ~~. REVENUE OFFICER 22-03-4033
for B. KR.EUTZER (412) 395-6343
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rr:v_ Rul_ 71-dRR 1971 - ~ C R d1191
Form 668(Y)(c) IRev. 2-2004)
Part 1 -Kept By Recording Office CAT. NO 60025X