HomeMy WebLinkAbout97-05848
r"'
Form 666 (V) (c)
(Rev, October 1993)
Dlstrlcl
1',1'1 !
Dlpa'tmont ot the Treasury. tnlornel Rovonue Sarvlce
.",..<-
Notice of Federal Tax Lien
Serial Number
For Opl/anl/ U.. by RICaralng 011I"
r
PENN:,YLVIIN[A ,':3'~ 73:].,",J
A. provided by IIcllon. 6321, 6322, and 6323 01 the Internal Revenue
Cod., w. are giving a notlc. lhattaxes (Including Interest and penallles)
hava been assessed against the lollowlng,named laxpaver, We have made
a demand lor payment of thl. lIeblllty, t;ut It remelns unpaid, Therefore,
thera I. a lien In favor of the United Slates on all property and rights to
properlY belonging to this taxpayer lor the amount of these taxes, and
addlllonal penalllea, Interest, and costs that may accrua,
,Nama 01 Taxpayar SUS/\N E WAflNEH
SAFE & SDUND EARI.Y CHIU'HOCJC' CARE
1\lu, q'l- 5&48' FTL
,-
"
r
'1
,
'q
r
r
Residence
6108 CAI,USLE PH<E
MECHANICSBURG, PA 17055-5243
"
""'1
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of lien Is reliled by the date given In column (e), this notice shall,
on the day lollowlng such date, operate as a certificate of release as defined
In IRC 6325(a),
Tax Period
Ended
(b)
Date of
Assessmenl
(d)
/I cl,CO ,-d
(,UI 141.3V'?
~', ,I Cj'7'1'73
Last Day for UnpaId aa'anc.
Rellllng of Anes.mant
(e) (I)
r
, Kind of Tax
(a)
Identllylng Number
(e)
, 1
"
941
941
09/30i9G
12/31/36
25-1769605
25-,1769605
02/17/97
05/26/97
03/19/07
06/25/07
8057.97
9366.13
, '
...
""
....
',,4
j
jPlace 01 FIling
j
,
j
IThls nollce was prepared and signed al
I
I
,the 20th day of
t,.,
P,'othorlotary
Cumberlarl,j County
Cal'lisle, PA 1'7013
Total
$
17424.10
(,I
PlttsbUl'qh, PA
, on this,
Septembe,' ,19.:!!...-,
1
~
'Signature ,r,l
, fa" C. ~lM:!HIHE:"ir4RL I.,:j\,-...".
Title
MANAGER 23-01-1401
'.. I
(NOTE: Cerlllleatl 01 olllcer authorized by law 10 lake acknowledgments Is not usenlial to tho validity of Nollel of Fldlral Tax IIln
RIV, Rul. 71.466, 1871 .2 C,8, '09) ",,1
Parl1 . Kept By Recording Office Form 668 (V) (e) (Rev, 1 O/9:.f"'" c..- "