HomeMy WebLinkAbout03-1340Form 668 (Y)(c)
(Rev. October 2000)
1008
Area:
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Optional Use by Recording Office
WAGE & INVESTMENT ~REA #2 ~umber
Lien Unit Phone: (800) 829-7650 105007003
As provided by section 632 l, 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 belongfng to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer BENJ~
501 S 32ND ST
Residence
CAMP HILL, PA 17011-5106
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is rallied by the date given in column {e), this notice shall,
on the day following such date, operate as a certificate of release as defined
5(a). ~
Tax Period Date of
Kind of Tax
(a)
1040
1040
1040
Ending
12/31/1998
12/31/1999
Identifying Number
177-52-8568
177-52-8568
177-52-8568
Assessment
06/01/199
05/31/1999
06/12/2000
Prothonotary
Cumberland County
Carlisle, PA 17013
Place of Filing
Last Day for Unpaid Balance
Retiring of Assessment
07/01/2008
06/30/2009
07/12/2010
286.62
4629.49
Total
4916.11
This notice was prepared and signed at PHILADELPHIA, PA
, on this,
the 20th March
day of 2003
Signatur / -~
O) 829-7650
( : Certificate of officer authori~,~ ~-,-, ...........
..... y ,aw [o [aKa acknowledgment is not essential to the validity of Notice of Federal Tax lien
r~ev. Rul. 71~466, 1971 - 2 C.B. 409)
Part ! - Kept By Recording Office Form 668(¥)(c) (Rev. 10-00)
CAT. NO 60025X