HomeMy WebLinkAbout13-0261Form 668 (Y)(c)
(Rev. February 20041
11883
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recordin Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 915204713
As provWed by sectbn 6321, 6322, and 6323 of the Internal Revenue
Code, we are ghring a notice that taxes (including h>tterest and penahies)
have been assessed the folbwing-named wtpayer. We have made
a demand for payment of this Eability, but it remahu unpaW. Therefore,
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there is a ~ in favor of the united States on all property and rights to ~ ',
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property bebrt~g to the taxpayer for the amount of these taxes, and -~, 3 w -~
addkional penalties, Mterest, and costs that may accrue.
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Name of Taxpayer MICHAEL A & PENNY D SHERIFF ~~ rn
Residence
4 3 6 MOUNT ROCK RD ~
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NEWVILLE, PA 17241-9576 _
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IMPORTA1~iT 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).
Tax Period Date ~ Last for Un~lal d Balance
Kind of Tax Endh~g IdentHying Number Assessment R~ of Assesm~ent
a) b c d (e
1040 12/31/2009 XXX-XX-4556 04/15/2010 05/15/2020
1040 12/31/2009 XXX-XX-4556 10/18/2010 11/17/2020
1040 12/31/2009 XXX-XX-4556 09/03/2012 10/03/2022 12372.93
1040 12/31/2010 XXX-XX-4556 11/21/2011 12/21/2021 2634.20
1040 12/31/2011 XXX-XX-4556 11/19/2012 12/19/2022 4527.32
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 19534.45
This notice was prepared and signed at
the 08th day of January
DETROIT, MI
2013
on this,
~al.so PD PGFF-
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Signature ~ ~~ 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)
Pant 1 -Kept By Rewrd~~ Olrfite Form 668(lf7(c) (Rev. 2-2004)
CAT. NO ti0025X