HomeMy WebLinkAbout03-0134Form 668 (Y)(c)
(Rev. October 2000)
499
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: I Serial Number
WAGE & INVESTMENT D~REA #2
Lien Unit Phone: (800) 829-7650 230299539
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 ALICE G CLOSS
Residence
I
Kind of Tax
(a)
1408 BRADLEY DRIVE L312
CARLISLE, PA 17013-1271
For Optional Use by Recording Off,ice
IMPORTANT RELEASE INFORJqATION: 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).
1040
1040
1040
1040
1040
Place of Filing
Tax Period
Ending
(b)
12/31/1993
12/31/1995
12/31/1999
12/31/2000
12/31/2001
Identifying Number
(c)
142-24-8708
142-24-8708
142-24-8708
142-24-8708
142-24-8708
Date of
Assessment
(d)
05/08/1995
02/17/1997
05/29/2000
05/28/2001
06/03/2002
Prothonotary
Cumberland County
Carlisle, PA 17013
Last Day for
Refiling
(e)
06/07/2005
03/19/2007
06/28/2010
06/27/2011
07/03/2012
Total
Unpaid Balance
of Assessment
(f)
1759.68
2322.87
513.53
1721.61
2014.79
8332.48
This notice was prepared and signed at
PITTSBURGH PA
· on this,
the 24th dayof December 2002
Signature~ / ~ Title
:_oo_oooo
for , 0 829-7650
(NOTIC: Certificate of officer authorized by law to~ake acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409)
Form 6&8(¥)(¢) (Rev. 10-00)
Part I - Kept By Recording Office
CAT. NO 60025X