HomeMy WebLinkAbout01-5720499
Form 668 (Y)(c)
(Rev. October 2000)
Area: I Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 230180284
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 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.
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Name of Taxpayer TROY A BEAM
Residence
For Optional Use by Recording Office
401 SHIPPENSBURG RD
SHIPPENSBURG, PA 17257-8617
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in corumn (e), this notice shall,
on the day following such date, operate as a certificate of release as defined
Kind of Tax
(a)
I in IRC 6325(a).
Tax Period
Ending
(b)
1040
1040
Identifying Number
(c)
187-56-2949
187-56-2949
Date of
Assessment
(d)
10/04/1993
07/26/1999
Last Day for
Retiring
(e)
11/03/2003
08/25/2009
Prothonotary
Cumberland County
Carlisle, PA 17013
Unpaid Balance
of Assessment
Place of Filing
12/31/1992
12/31/1992
(f)
19291.18
Total
19291.18
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the 24th day of
Signature
for D. ZMUDZIN
September 2001
Title
Revenue Officer
(717) 221-3490
23-01-1441
(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 &68(¥)(¢) (Rev. 10-00)
Part I - Kep¢ By Recording Office CAT. NO 60025X