HomeMy WebLinkAbout03-1345499
FoFm 668 (Y)(c)
(Rev. October 2000)
Area: I Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
lien Unit Phone: (412) 395-5265 230303086
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are siring a notice that taxes (includinf~ 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 Jn favor of the United SUtes on all property and rights to
propeFty belonging to this taxpayer for the amount of these taxes, 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
7t . o 3-/3v ' F-T/-
For Optional Use by Recording Office
~u__.,l~ ~t l l
Residence 914 SPRING CIR
MECHANICSBURG, PA 17055-4054
Kind of Tax Tax Period Date of Last Day for
Ending Identifying Number Assessment Retiling
(a) (b) (c) (d) (e)
941 09/30/1997 23-2624434 03/10/2003 04/09/2013
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
Unpaid Balance
of Assessment
(f)
6504.40
6504.40
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the llth day of March 2003
Sig 9ati~,~ ~ ~
~JNNIS P. ZMUDZIN /~/ L(717) 221-3490 23-11-1441
(NOTE: Certificate of officer authorized by law'to take acknowledgment 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(¥)(c) (Rev. 10-00)
CAT. NO 60025X