HomeMy WebLinkAbout01-1696 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
SMALL BUSINESS/SELF EMPLOYED AREA #3 J(P q~ l~lL
Lien Unit Phone: (800) 829-3903 230171954 01-
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties) (") 0 C';
have been assessed against the following-named taxpayer. We have made c - ~n
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a demand for payment of this liability, but it remains unpaid. Therefore, -om :1'~
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there is a lien in favor of the United States on all property and rights to Z:r.' ...-
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property belonging to this taxpayer for the amount of these taxes, and Iv :)-....1
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additional penalties, interest, and costs that may accrue. ~o "'1';1 '-~r.;
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Name of Taxpayer WILLIAM A CORNELL >8 - ?~~ f~~
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Residence 222 S FRONT ST
WORMLEYSBURG, PA 17043-1336 PtL fUt6 tj6-<J
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column Ie). this notice shall, U I 1- tJ tJ Y-
on the day following such date, operate as a certificate of release as defined (/<) I () c,.J.4fp
in IRe 6325(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refilmg of Assessme~t
(a) (b) - (c) (d) (e) (f)
1010 12/31/1996 169-44-3041 11/14/1997 12/14/2007 1186.65
1040 12/31/1998 169-44-3041 08/02/1999 09/01/2009 2698.15
1040 12/31/1999 169-44-3041 06/05/2000 07/05/2010 8605.17
Place of Filing
Prothonotary Total $
Cumberland County 12489.97
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
07th day of March
2001
the
Signature
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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. Rul. 71-466,1971 - 2 C.B. 4091
Part 1 - Kept By Recording Office
Form 668(Y)(c) (Rev. 10-00)
CAT. NO 60025X
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