HomeMy WebLinkAbout14-5576 11883
Department of the Treasury - Internal Revenue Service
Form bbar {Y){c)
(Rev.February 2004) Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #1 Y�
Lien Unit Phone: (800) 829-7650 119838314
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 belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue. -
M ED va
Name of Taxpayer JACOB F BLUGES
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Residence 300 RAMSAY PL APT 519 �~
NEW CUMBERLND, PA 17070-3409 ,,_ �+
IMPORTANT RELEASE INFORMATION: For each assessment listed below, MI„
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). 9� �����
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 12/31/2010 XXX-XX-9513 05/30/2011 06/29/2021 15674 .35
1040 12/31/2013 XXX-XX-9513 06/09/2014 07/09/2024 781 . 00
Place of Filing
Prothonotary
Cumberland County Total $ 16455 .35
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI
on this,
the 12th day of September 2014
SignatureTitle
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