HomeMy WebLinkAbout05-3563
1872
Department of the Treasury. Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
IRev. February 2004) ~O.<; - 35'{" 3 f'TL
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 fa.. IfI" (v. In
Lien Unit Phone: (800) 829-3903 236129205
As provided by section 612 t, 6122, and 6121 of the Internal Revenue CJc /.J- 97
Code. we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made (j~ //.,t.3J.'i
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 righu to
property belonging to this taxpayer for the amount of these taxes, and 0 .....,
c::;;> 0
additional penalties, interest, and cosU that may accrue. c ( - '::: ~ ;:. -1"1
c-'"'
c. .--j
Name of Taxpayer EDWARD L HERSHBERGER , c:.: f;i:r:-:
j---- ,....
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Residence 702 HUMMEL AVE ~ -,',
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LEMOYNE, PA 17043-1831 N IT!
1'.)
IMPORTANT RELEASE INFORMATION: For each assessment listed below, c'
unless notice of the lien is reWed 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 IRe 6325(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Ref/hng of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1993 176-34-8359 10/04/1999 11/03/2009 13962.57
1040 12/31/1994 176-34-8359 10/04/1999 11/03/2009 10291.52
1040 12/31/1995 176-34-8359 10/04/1999 11/03/2009 7438.06
Place of Filing
Prothonotary
Cumberland County Total $ 31692 .15
Carlisle, PA 17013
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
05th day of July
2005
the
Signature
Title
ACS
(800) 829-3903
23-00-0008
for L LEDER
(NOTE: Certjficate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax: lien
Rev. Ru!. 71.466, 1971 .2 C.B. 4091
Part t - Kept By Recording OffIce
Form 668(Y)(c) IRev. 2.20041
CAT. NO 60025X