HomeMy WebLinkAbout14-7374 14582
Department of the Treasury - Internal Revenue Service
(Rev.February 24004)4)
Form boar (YNotice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 913-6050 135523414 ff G
As provided by section 6321, 6322; and 6323 of the Internal Revenue P% J 73?V
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 w °
C;�
property belonging to this taxpayer for the amount of these taxes, and .
additional penalties, interest, and costs that may accrue. c —j
Name of Taxpayer DENNIS L & KARIN M SURD r,.,> o
�=
CD
Residence 651 PHEASANT RUN RD - +
HUMMELSTOWN; PA 17036-8502 --+
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). fCG��If
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 12/31/2013 XXX-XX-7699 11/17/2014 12/17/2024 8982 .78
Place of Fling
Prothonotary
Cumberland County Total $ 8982 . 78
Carlisle, PA 17013
This notice was prepared and signed at DETROIT, MI , on this,
the I8th day of December 2014
Signature `? � � Title
REVENUE OFFICER 22-06-2625
for MIGNA RODRIGUEZ (717) 777-9622
(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