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Form 668 (Y)(¢)
(lieu. October 2000)
Area: I Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
lien Unit Phone: (412) 395-5265 105184003
As provided by section 632I, 6322, and 6323 of the Internal Revenue
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
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 belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer KENNETH DILTZ & K FOJUTOWSKI DILTZ
Residence 410 KUNKLE LN
MECHANICSBURG, PA 17050-3601
Kind of Tax
(a)
For Optional Use by Recording Office
1040
Tax Period
Ending
(b)
2/31/20Ol
Place of Filing
ldenti[yJng Number
(c)
548-37-8260
Prothonotary
Cumberland County
Carlisle, PA 17013
Date of
Assessment
(d)
06/03/2002
Last Day for
Refiling
(e)
07/03/2012
Unpaid Balance
of Assessment
Total
(f)
12558.43
12558.43
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 26th day of March 2003
Title
ACS
(800)
829-3903
23-00-0008
(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(Y)(c) (Rev. 10-00)
CAT. NO 60025X