HomeMy WebLinkAbout13-2304 11883
Form 668 (Y)(c) Department of the Treasury - Internal Revenue Service
(Rev. February 2004) Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829 -7650 934740913
As provided by section 6321, 6322, and 6323 of the Internal Revenue � D y
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, C= ° '`''
- � 3 w ^a
there is a lien in favor of the United States on all property and rights to r-n Co
property belonging to this taxpayer for the amount of these taxes, and rn
additional penalties, interest, and costs that may accrue. cn r N ?
Name of Taxpayer JANIE M ANDERSON r—
Fa C r�
Residence 31 WOLF BRIDGE RD r r
CARLISLE, PA 17013 -8814 Cn ^;
F PORTANT RELEASE INFORMATION: For each assessment listed below, less notice of the lien is refiled by the date given in column (e►, this notice shall, the day following such date, operate as a certificate of release as defined IRC 6325(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
CIVP 12/31/2009 XXX -XX -3227 11/21/2011 12/21/2021 1882.64
CIVP 03/31/2010 XXX -XX -3227 11/21/2011 12/21/2021 6524.33
CIVP 06/30/2010 XXX -XX -3227 11/21/2011 12/21/2021 7842.04
CIVP 09/30/2010 XXX -XX -3227 11/21/2011 12/21/2021 7029.97
Place of Filing
Prothonotary
Cumberland County Total $ 23278.98
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 19th day of April 2013
Signature �-�,, -� Title
ACS W &I 11 -00 -0000
for DEANN BENDER (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) (Rev. 2 -2004)
Part 1 -Kept By Recording Office CAT. NO 60025X