HomeMy WebLinkAbout96-04822
Olp.,tmlnt of thl Tr..eu,y . Int. mol Rlvlnul Service
Form 668 (V) (c) I" '"
(Rev.Oclolwr I\-HJ:l)
Notice of Federal Tax Lien
District 1'.. n n I,Y I va" i :--r-erIBI Number 2:3'161"\:"\:",'
A. provldad by section. 6321, 6322, and 6323 01 the Internal Revenue
Code, we ere giving a notice that taxf1S (Including Inte,est and penalties)
hev. been aUII.ed against the lollowltlg.nomed taxpayer. We hove mode
. demand lor payment 01 this liability, but It ,emalns unpaid. The,efore,
there I. 8 lien In favor of the United States on all property and rights to
property belonging to this taxpayer lor the amount 01 these taxes, and
.ddltlonel p.naIUII, Interest, and costs that may acc,ue.
Nome 01 Taxpayer (JENN J:, L fWDH 1 GUF l
Residence
:14"" f1H III F 1111
':J\I~P 1111.1 , 1"1\ 1/'.111 .44'1S
IMPORTANT RELEASE INFORMATION: For each assessment listed below.
unless notlca 01 lien Is ,allied by the date given In column (e). thiS notice shall.
on the day following such date. operate as a cerliflcate of relellse as defined
IniAC 6325(0).
Tax Period
Ended
(b)
Fo, Opllonel u._ by Recording 01l1C.
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Kind 01 TlX
(a)
Idontlfylng Numbe,
Ic)
Date 01
Assessment
Id)
Last Day lor
Reflllng
Ie)
(I,I~ L\ 'll..~ ~~
Unpaid Balanc.
of Assllament
(I)
1040
12t:l1/9~~
210' 4<)-2546 01/013/'36
02/(17/06
Place 01 Filing
P,'othonota,'v
Cumb",'JElnd COIJnty
Carl;~Je PA 17013
This notice was p,epared and signed at PI ttsbllr''1h. PA
the 05th day 01 AU'l'ut
,19~.
Signature
Tille
for P8trlc'~ Betle]ewskl- ACS
2752.37
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Tolal $
2752.37
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, on thle,
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Mnna~)et.
23-1) 1 ..(I()OO
-.'
Pa,t 1 . Kept By Rcco,dlng Office
(NOTE: CefllflclI11 01 clUcer oulho'!ze~ bV law to lake oc:knov.I'lJgrnenll Is nol1l55l1nliol 10 lh, validity 01 Nelle. or Flde,al Tax 1I1n
AOY. Aut. 71,466. 1971.2 C.B. 409)
Form 668 (V) (c) (Aev, 10/93) ....
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