HomeMy WebLinkAbout03-0755Form 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 7~. 0 3- ~ ~ F77-
Serial Number For Optional Use by Recording Office
230301515
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
propeFty belonging to this taxpayer foF the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer RANDY & CHRISTIE HELLER
Residence
PO BOX 526
BOILING SPRGS, PA 17007-0526
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)
1040
1040
1040
Place of Filing
Tax Period
Ending
(b)
12/31/1997
12/31/2000
12/31/2001
Identifying Number
(c)
186-50-9031
186-50-9031
186-50-9031
Date of
Assessment
(d)
06/12/2000
05/28/2001
06/03/2002
Last Day for
Refiilng
(e)
07/12/2010
06/27/2011
07/03/2012
Unpaid Balance
of Assessment
(f)
3672.38
899.35
1675.77
Prothonotary
Cumberland County
Carlisle, PA 17013
Total
6247.50
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the 06th dayof February , 2003
Signature/"h. ;/ I Title
(-//~ ~'~-¢ U/J~-~.-~>,~, .,/~. I Acs 12-oo-oooo
for P S-'Ii~LNE"' ',~._.--.---"- .... Fa'~k w;,'/~/no-/ (800)829-7650
(NOTE: Certificate of officer authorized by law to tak I dgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409)
Part I - Kept By Recording Office Form 668(Y)(c) (Rev. 10-00)
CAT. NO 60025X