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2941
Form 668 (Y)(c) Department of the Treasury - Internal Revenue Service
(Rev. October 2000) Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 ~OI;7%'(P PrL-/
Lien Unit Phone: (412) 395-5265 230169625
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 to () 0 C)
property belonging to this taxpayer for the amount of these taxes, and c - -on
additional penalties, interest, and costs that may accrue. <' ..."
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Name of Taxpayer CHARLES W WILEY JR ',._":;
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Residence <(l ~- ;;~~i~
200 MOUNTAIN RD ~C5 ~,
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LEWISBERRY, PA 17339-9760 C .. :,::~
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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, ~~t11f}J9-37
on the day following such date, operate as a certificate of release as defined J:j /0739(p
in IRC 6325(a).
Tax Period Date of Last Df. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment
(a) (b) (c) (d) (e) (f)
940 12/31/1998 25-1354732 03/08/1999 04/07/2009 640.47
940 12/31/1999 25-1354732 03/06/2000 04/05/2010 592.52
941 03/31/1998 25-1354732 06/22/1998 07/22/2008 7851. 39
941 06/30/1998 25-1354732 09/14/1998 10/14/2008 7244.82
941 09/30/1998 25-1354732 12/14/1998 01/13/2009 6632.30
941 12/31/1998 25-1354732 03/22/1999 04/21/2009 6429.86
941 03/31/1999 25-1354732 06/21/1999 07/21/2009 5643.73
941 06/30/1999 25-1354732 09/13/1999 10/13/2009 6156.03
941 09/30/1999 25-1354732 12/20/1999 01/19/2010 6183.66
941 12/31/1999 25-1354732 03/13/2000 04/12/2010 6443.31
Place of Filing
Prothonotary Total $
Cumberland County 53818.09
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
18th day of January
2001
the
for
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Title
Revenue Officer
(717) 291-1995
23-01-1844
x137
Signature
(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(Y)(c) (Rev. 10-00)
Part t - Kept By Recording Office CAT. NO 60025X