HomeMy WebLinkAbout03-1526Form 668 (Y)(c)
(Rev. October 2000)
Area: I Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 105183503
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 co
property belonging Co this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
1442
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Name of Taxpayer JEFFREY T & ROSARIO I DEHAVEN
Residence 24 WARWICK CIR
MECHANICSBURG, PA 17050
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).
IOnd of Tax
1040
1040
11040
Tax Period
Ending
(b)
12/31/1993
12/31/1995
12/31/1996
Identifying Number
(c)
190-58-8083
190-58-8083
190-58-8083
Date of
Assessment
(d)
07/22/1996
05/27/1996
05/26/1997
Prothonotary
Cumberland County
Carlisle, PA 17013
Place of Filing
For Optional Use by Recording Office
Last D.a.~ for
Refihng
(e)
08/21/2006
06/26/2006
06/25/2007
Unpaid Balance
of AsseSSment
Total
(f)
3075.48
1005.06
570.40
4650.94
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
26th March 2003
the day of , __
Signat Title
I ACS 12-00-0000
for P S----T~Ai~ ~ ... ~/ . I (800) 829-7650
(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) Form 668(¥)(¢) (Rev. 10-00)
Part ! - Kept By Recording Office CAT. NO 60025X