HomeMy WebLinkAbout01-0935 FX
."~- ~ ~~~
-
..
- ~'__'~"""-
-~-,~
~""
,.
~>" ~.i"i
499
Form 668 (Y)( c)
(Rev. October 2000)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (800) 829-3903 230170461
As provided by section 632t, 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
property belonging to this taxpayer for the amoul1lt of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer GALEN E ALLEN
For Optional Use by Recording Office
o/~ q35 FTL-
CJ
Residence
()
c:
<::
veL
rnrT'
Z"
21-
m ;;:,~'_
--<.-'
yC'
)"';;,--,
~2
"7
:::j
--<
4,
C'1
,:'J
(')
.-il
(T'
~'.
....,of
.::;:;
()1
165 KLINE RD
SHIPPENSBURG, PA 17257-9649
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),
Kind of Tax
(a)
104;0
Tax Period
Ending
(b)
12/31/1989
Identifying Number
(c)
205-36-8786
Date of
Assessment
(d)
06/13/1994
Last Day for
Refiling
(e)
07/13/2004
Unpaid Balance
of Assessment
(f)
558.66
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
558.66
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the
06th day of February
2001
Signature
fiii:).,k. a
Title
ACS
23-01-0008
for L G DOWD (800) 829-3903
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev, Ru!. 71-466.1971 - 2 C.B. 409) Form 668(Y)(c) IRev. 10-001
Part I - Kept llY Recording Office CAT. NO 60025X