HomeMy WebLinkAbout03-0335Form 668 (Y)(c)
(Rev. October 2000)
499
Area:
WAGE & INVESTMENT AREA #2
lien Unit Phone: (800) 829-7650
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
YL,. o 3 -
Serial Number
230300053
As provided by section 632I, 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 CHARLES ROBERT WRIGHT
Residence 4800 M CHARLES RD
MECHANICSBURG, PA 17055-3085
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is tefiled 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)
1040
1040
1040
1040
1040
Place of Filing
For Optional Use by Recording Office
Tax Period
Ending
(b)
12/31/1986
12/31/1988
12/31/1990
12/31/1991
12/31/1992
Identifying Number
(c)
255-70-4980
255-70-4980
255-70-4980
255-70-4980
255-70-4980
Date of
Assessment
(d)
06/14/1993
06/14/1993
09/06/1993
02/06/1995
07/31/1995
Last Day for
Refiling
(e)
07/14/2003
07/14/2003
10/06/2003
03/08/2005
08/30/2005
Prothonotary
Cumberland County
Carlisle, PA 17013
Total
Unpaid Balance
of Assessment
(f)
4134.44
1661.89
5446.63
5742.23
4726.60
21711.79
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the 14th day of January 2003
Signature ,_ / /7-....._=-.. / [ Title
/" 3i/ // ~ L IACS 12-00-0000
P I
(~OTE: Certificate of ~r authorized by law to ta~knowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 10-00)
Pa~ 1 - Kept By Recording Office CAT. NO 60025X