HomeMy WebLinkAbout02-5823499
Form 668 (Y)(c)
(Rev. October 2000)
Area:
WAGE & INVESTMENT .Z~REA #2 ~umber
Lien Unit Phone: (800) 829-7650 230298008
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 liabllky, but it remains unpaid. Therefore,
there is a lien in favor of the United S~ates 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 CARL FAYA-~'~-~'--~
Residence
107 W KELLER ST
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Optional Use by Recording Office
MECHANICSBURG, PA 17055-6336
! IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (e), this notice shal
on the day following such date, operate as a certifica
~5(a) te of release as defined'
Kind of Tax
(a)
1040
1040
1040
Ending
(b)
12/31/1994
12/31/1995
12/31/1997
Identifying Number
194-50-5265
194-50-5265
194-50-5265
Date of
Assessment
(d)
11/19/2001
11/19/2001
11/19/2001
Last Day for
Retillng
12/19/2011
12/19/2011
12/19/2011
Prothonotary
Cumberland County
Carlisle, PA 17013
Place of Filing
Unpaid Balance
of Assessment
2694.52
5003 . 41
13689.54
Total $
21387.47
This notice was prepared and signed at
the 28th day of November
2002
PITTSBURGH, PA
· on this,
S~gnature ~ / /j
(NOTF~~.,- .... ~' ~ (800) 829-7 . 12-00-0000
~~ ~,.~ ....... ~ouu) ~ 650
by ,aw tO take · ~
H~ lake ~nowledgment ia not essential to the validity of Notice of Federal Tax lien
Parr I - Kept By Recording Office Form 668(Y)(c) (Rev. 10-00)
CAT. NO 6002§×