HomeMy WebLinkAbout03-1343499
Form 668 (Y)(c)
(Rev. October 2000)
Area: ~mber
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 230303004
As provided by section 6321, 6322, and 6323 of the Internal Revenu~
Code, we are giving a notice that Uxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but Jt remains unpaid. Therefore,
there is a lien in favor of the Unked States on all pFoperty and rights to
propeFty belonging to this taxpayer for the amount of these axes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer MELRETTA C SIMPSON
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
7'Lo. 0.5./3~3 ~' TL
For Optional Use by Recording Office
Kind of Tax
Ca)
Residence 914 SPRING CIR
MECHANICSBURG, PA 17055-4054
IM~sessment listed below.
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
Tax Period Date of Last Day for
Ending Identifying Number Assessment Retiling
.____~(b) ______(c) (e)
09/30/20- 23-2624434 12/02/2002 01/01/2013
~'~.~. /35' ~£0
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total
Unpaid Balance
of Assessment
Cf)
1238.18
1238.18
This notice was prepared and signed at PITTSBURGH, PA
, on this,
the 10th day of March 2003
- ~/~'~'- ;"~/~: ~' .... ~ I REVENUE OFFICER
490
Rev. Rul. 71-466 1971 - 2 C B 409) y law to ta~'e acknowledgment is not essential to the validity of Notice of Federal Tax lien
Part I - Kept By Recording Office Form 668(Y)(c) (Rev. 10-00)
CAT. NO 60025X