HomeMy WebLinkAbout13-0674Form 668 (Y)(c)
IRev. February 2004)
1883
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number
WAGE & INVESTMENT AREA #1
lien Unit Phone: (800) 829-7650 919730113
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice 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.
Name of Taxpayer
Residence 521 SANDPIPER LN
NEW CUMBERLND, PA 17070-2864
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).
For Oational Use by Recording Office
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Tax Period Date of Last D for
~ unpaid Balance
Kind of Tax Ending Identifying Number Assessment ng
Refi of Assessment
(a) b) (c) (d (e) (~
1040 12/31/2007 XXX-XX-4009 03/14/2011 04/13/2021 39835.71
1040 12/31/2008 XXX-XX-4009 03/14/2011 04/13/2021 120944.59
1040 12/31/2009 XXX-XX-4009 03/19/2012 04/18/2022 2685.49
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 163465.79
This notice was prepared and signed at
the 31st day of January
DETROIT, MI
2013
on this,
Signature ~~t Title 11-00-0000
~ ~ ACS W&I
for DEBRA K. HURST (800) 829-7650
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal 1 ax Tien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) IRev. 2-2004)
Part 1 -Kept BY Recording Office CAT. NO 60025X