HomeMy WebLinkAbout06-2597
1872
Department of the Treasury - Internal Revenue Service
Form 668 (Y)( c) Notice of Federal Tax: Lien
(Rev. February 2004) Ik.OI.. )''5C,i F='TL
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2 -1,- fJ~ IN,Iff)
Lien Unit Phone: (800) 913 -6050 286255006
As provided by section 632', 6322, and 6323 of the Internal Revenue c..h.. 3 f3'f
Code, we are giving a notice that taxes (Including interest and penalties) 62u- ;"'''1514
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.
Name of Taxpayer DAVID A KERR ' - (") ....."
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Residence 920 PETERSBURG RD ~S:~I -<
CARLISLE, PA 17013-9211 I ~~
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IMPORTANT RELEASE INfORMATION: For each assessment listed below, ~c --'"
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unless notice of the lien is refiled by the date given in column (e), this notice shall, >c:: ~ 8m
on the day following such date, operate as a certificate of release as defined 2 ~
in IRC 6325(a). =< ~
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Tax Period Date of Last pal. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Ref! ng of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2002 XXX-XX-5896 07/04/2005 08/03/2015 21365.37
Place of Filing
Prothonotary
Cumberland County Total $ 21365.37
Carlisle, PA 17013
This notice was prepared and signed at
DETROIT, MI
, on this,
the
24th day of April
2006
Signature
Title
REVENUE OFFICER
(717) 221-3490
22-06-1408
for MIGNA RODRIGUEZ
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev, Ru!. 7'~466. 1971 ~ 2 C.B. 4091
Pan 1 - Kept By Recording OffIce
Form 668(Y)(c) (Rev. 2~20041
CAT. NO 60025X