HomeMy WebLinkAbout01-03401
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 Jtor- 3tfG / ~
Lien Unit Phone: (800) 829-3903 230175650
As provldlld by sllction 6321, 6322, and 6323 of thll Intllrnal Rllnnue
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 amount of these taxes, and 0 Q,
additional penalties, interest, and costs that may accrue. g -
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Name of Taxpayer KURT SOURBEER t ~ ;~~
':;I':: ,'~
I :.Q,(
s:- <'),0
Residence 70 WALNUT ST :r:~
0",::;0 '"'0 00
CARLISLE, PA 17013-3833 ~~ $ Ern
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, CA JJ JJ~ N
unless notice 01 the lien is reliled by the date given in column (e), this notice shall, liD
on the day following such date, operate as a certificate of release as defined R.# I \c1 lfO~
in IRe 6325(a).
Tax Period Date of Last Dal. for Unpaid Balance
Kind of Tal[ Ending Identifying Number Assessment Refi mg of Assessment
(a) (b) (c) (d) (e) (I)
1040 12/31/1993 182-46-4451 07/17/2000 08/16/2010 28310.52
Place of Filing
Prothonotary Total $
Cumberland County 28310.52
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the
22nd day of May
2001
Signature
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)
Part t . Kept By Recording Office Form 66B(Y)(c) (Rev, 10-001
CAT, NO 60025X
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