HomeMy WebLinkAbout13-1031Form 668 (Y)(c)
(Rev. February 2004)
118
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650 922667113
As provided by section 6321, 6322, and 6323 of the Internal Revenue i3 -~~,3 ~ ~~ % ~
Code, we are giving a notice that takes (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 belonging to this taxpayer for the amount of these taxes, and ~-, 0. _
additional penalties, interest, and costs that may accrue. - c~~ L
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Name of Taxpayer ALLAN S & KATHY A MERROW =.,.X='-' `'='~-
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Residence 216 A ROSS AVE .~-'~~
NEW CUMBERLND, PA 17070-2614 ~~<--
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, r~°~'
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
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in fRC 6325(a).
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Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Reuling of Assessment
(a) (b) (c) (d (e) (f)
1040 12/31/2009 XXX-XX-8041 08/27/2012 09/26/2022 13966.55
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 13966.55
This notice was prepared and signed at
the 14th day of February
DETROIT, MI
2013
on this,
Signature ~ Title
` \~~ ACS W&I 11-00-0000
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 Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) lRev. 2-2004)
Part 1 -Kept BY Recording Office CAT. NO 60025X