HomeMy WebLinkAbout03-0982Form 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 -FL . 03-
For Optional Use by Recording Office
ISerial Number 230302114
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 propert3r 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 JEFFERY A & MARY B BLACKBURN
Residence 220 FAITH CIR
CARLISLE, PA 17013-8822
I
I ~t of release as defined
in IRC 6325(a).
Tax Period Date of Last Day for
Retiring
Kind of Tax
Ca)
Ending
(b)
12/31/1999
12/31/2000
12/31/2001
Identifying Humber
(c)
310-56-2321
310-56-2321
310-56-2321
Assessment
Cd)
05/29/2000
07/23/2001
09/23/2002
(e)
06/28/2010
08/22/2011
10/23/2012
1040
1040
1040
Prothonotary
Cumberland County
Carlisle, PA 17013
Place of Filing
Total
Unpaid Balance
of Assessment
Cf)
760.37
3172.36
2293.29
6226.02
This notice was prepared and signed at
PITTSBURGH, PA ,onthis,
the 18th dayof February , 2003
Signature / ~ / I ~~ 12-00-0000
for ~] ~......
(]qO---l~"~.' Ce~i~at~ (~[j:~4~'6~orized b~ ~aw to t~aoknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. RuI. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 10-00)
Pa~ 1 - Kept By R~ording O~ce CAT. NO 60025X