HomeMy WebLinkAbout01-1694 FX
499
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax Lien
(Rev. October 2000)
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #2 J (pq 4-
Lien Unit Phone: (800) 829-7650 230171737 6/~ F7L..
As provided by section 6321, 6322, and 6323 of the Internal Revenue 0 0 ,.-..,
Code, we are giving a notice that taxes (Including Interest and penalties) c - ~r:1
have been assessed against the following-named taxpayer. We have made :s:: ~ ,'::1
-Om ):m
a demand for payment of this liability, but it remains unpaid. Therefore, lpf" 7.J :~", -T)
_:I "_m
there Is a lien In favor of the United States on all property and rights to 71:;: N : ~--:Q
(j; ". N ),1,
property belonging to this taxpayer for the amount of these taxes, and -<z .
additional penalties, Interest, and costs that may accrue. !;:C) -0 ,.-J~,,"~
~Q ~- Z~~~
~~
Name of Taxpayer VICKI L MADIGAN --0
Pc -
Z .. ~
::<! N :0
(]'I -<
Residence 629 N HANOVER ST APT 4
CARLISLE, PA 17013-1934
IMPORTANT RELEASE INFORMATION: For each assessment listed below, PI--- P7f6 tth)
unless notice of the lien is refiled by the date given in column (e), this notice shall, U. /4- J-:;'J--
on the day following such date, operate as a certificate of release as defined
in IRe 6325(a). R lY1 J- .
Tax Period Date of Last Da.r. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Ref! mg of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1997 184-42-3022 05/18/1998 06/17/2008 8331.70
1040 12/31/1998 184-42-3022 OS/29/2000 06/28/2010 1869.97
.
Place of Filing
Prothonotary Total $
Cumberland County 10201. 67
Carlisle, PA 17013
i
i
1:
This notice was prepared and signed at
PITTSBURGH, PA
I on this,
the
01st day of March
2001
Signature
Title
ACS
23-01-0000
for P S ~E (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.8. 409)
Part 1 _ Kept By Recording Offic Form 668(Y)(c) (Rev. 10-00)
I e CAT. NO 60025X
';/~'T_^~_
'0
""I
"I~~ -r~ ~"'~-~
._~