HomeMy WebLinkAbout13-0260Form 668 (Y)(c)
(Rev. February 2004)
1
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: (800) 913-6050 915204413
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are a notice that taxes (including interest and penalties)
have been assessed agahldst the following named taxpayer. We have made
a demand far p of this Eability, but it remains mipadd. Therefore, ~ .
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there ~ a Een in favor of the united States on all property and rights to -03 ,
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property belong to this wtpayer for the amount of these taxes, and _ ~ a
additbnal penah3es, interest, and costs that may accrue. ~ ~
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Name of Taxpayer CHESTER MURRY ~~ c>?~ o~
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Residence 4183 COVE CT ~~'
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MECHANICSBURG, PA 17050-9113 -~-~ ,
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IMlORTAi~I'T RELEASE 1111FORMAT101~1: 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).
Tax Period Date of Last DDaar~rr for U~aid 4fl-lance
Kind ~ Tax Endh>tg IdentMying Number Amt Rettig of A-~stnent
a b c d e
1040 12/31/2004 XXX-XX-4303 12/17/2012 01/16/2023 7459.65
1040 12/31/2010 XXX-XX-4303 12/17/2012 01/16/2023 5816.63
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~ $
This notice was prepared and signed at
the 08th day. of January
DETROIT, MI
2 013
on this,
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Signature /' ;~1 ~~ REVENUE OFFICER 22 - 06 -1413
for LINDSEY O BOWLIN (717) 777-9623
13276.28
(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 By Rttordle~ Office Form 6K8(ln(c) (Rev. 2-2004)
CAT. NO 60025X