HomeMy WebLinkAbout14-0728 11883
Form 668 (Y)(c) Department of the Treasury - Internal Revenue Service
(Rev. February 2004) Notice of Federal Tax Lien
Area: Serial Number For Optio Use by Recording Office
SMALL BUSINESS /SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913 -6050 981575014 _
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, C -- ) N
there is a lien in favor of the United States on all property and rights to (= a
property belonging to this taxpayer for the amount of these taxes, and 7
additional penalties, interest, and costs that may accrue.
Wr
r
Name of Taxpayer LISA LANG;
r te- M_
�1= 3;10
Residence _�
1154 NEWVILLE RD C:
CARLISLE, PA 17013 -1739 °
JJ :7'
IMPO :6325(a). NT RELEASE INFORMATION For each assessment listed below,
unless e of the lien is refiled by the date given in column (e), this notice shall,
on the following such date, operate as a certificate of release as defined /•SLR lee. L�
in IRC H
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)
1040 12/31/2012 XXX -XX -1689 06/03/2013 07/03/2023 472.92
Place of Filing
Prothonotary
Cumberland County Total $ 472.92
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the 2 9 th day of January 2 014
Signature Title
C�rG 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) Form 668(Y)(c) (Rev. 2 -2004)
Part 1 - Kept By Recording Office CAT. NO 60025X