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Form 668 (Y)(c)
(Rev. October 2000)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: J Serial Number
WAGE & INVESTMENT AREA #2
Lien Unit Phone: (80O) 829-7650 230299529
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.
Name of Taxpayer JOHN W HOLLOWAY
Residence 483 SLASEMANS DR
NEW CUMBERLND, PA 17070-3107
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled 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 IRC 6325(a).
Kind of Tax
(a)
Tax Period
Ending
(b)
12/31/1998
12/31/1999
Identifying Number
(c)
178-52-6325
178-52-6325
Date of
Assessment
(d)
12/25/2000
11/26/2001
1040
1040
Prothonotary
Cumberland County
Carlisle, PA 17013
Place of Filing
For Optional Use by Recording Office
Last Day for
Refiling
(e)
01/24/2011
12/26/2011
Total
Unpaid Balance
of Assessment
(f)
2967.76
3206.95
6174 . 71
This notice was prepared and signed at
the 24th day of December
2002
PITTSBURGH, PA
, on this,
~__7/~Z ~<' ~.~, ~_~.~,/~ ~. Title
for P ~E ~ ~~ ACS 12-00-0000
(800) 829-7650
(~O~E: Certificate of officer authorized by law to take acknowJedgment Js not essentia~ to the vafidity of Notice of Federal Tax lien
Rev. Rul. 71-486, 1971 - 2 C.8. 409)
Pa~ I - Kept By Recording O~ce Form 668(Y)(c) (Rev. 10-00)
CAT. NO 60025X