HomeMy WebLinkAbout01-1698 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 C)I - J'-ff I:: 7L
Lien Unit Phone: (412) 395-5265 230172072
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 (") 0 n
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a demand for payment of this liability, but it remains unpaid., Therefore, s: :J: .~
there is a lien in favor of the United States on all property and rights to --0 ni :1:-'" ~~2J
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property belonging to this taxpayer for the amount of these taxes, and z::rJ N '''..-1:-1'1
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additional penalties, interest, and costs that may accrue. ~- N ,", '
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Name of Taxpayer CHARLES W. WILEY JR. D/B/A WILEY'S DEL d;O :E:: ~~~~
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Residence 200 MOUNTAIN RD ~ <=> '-<
LEWISBERRY, PA 17339 PtL:t ~OJ
IMPORTANT RELEASE INFORMATION: For each assessment listed below, (U, , Lfi.OJ-4-
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 J be; J4 q
in IRe 6325(a). -
Tax Period Date of Last D~for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment
(a) (b) (c) (d) (e) (f)
941 09/30/2000 25-1354732 12/18/2000 01/17/2011 6734.75
Place of Filing
Prothonotary Total $
Cumberland County 6734.75
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the
08th day of March
2001
Signature
Title
Revenue Officer
for C. WHITE._.___....! (717) 291-1995 x137
(NOTE: Certificate of officer authorized by law to tak"e acknowledgment is not essential to the validity of Notice of Federal Tax lien
~ev. Ru!' 71.466, 1971 - 2 C.B. 409)
Pan 1 _ Kept By Recording Omce Form 668(Y)(c) IRev_ 10-001
CAT. NO 60025X
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23-01-1844
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