HomeMy WebLinkAbout01-03403
499
Department of the Treasury - Internal Revenue Service
Form 668 (Y)(c) Notice of Federal Tax LUen
(Rev. October 2000)
Area: Serial Number For Optional Use by Recording Office
WAGE & INVESTMENT AREA #2 14 01--3403
Lien Unit Phone: (800) 829-7650 230175926 ~
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
a demand for payment of this liability, but it remains unpaid. Therefore, e 0 0
there is a lien in favor of the United States on all property and rights to - -n
property belonging to this taxpayer for the amount of these taxes, and s:: c- --<
"Ow c:: ~
~fT\ % ('11 ::D
additional penalties, interest, and costs that may accrue. ,
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Name of Taxpayer DENNIS E PENNER 0r;:- a
.....
20 -.;I ~c:B
i8 ::It ~o
Residence - Om
32 CENTER ST 8 ~ .. ?6
MT HOLLY, PA 17065-1728 N
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, ct )3:2
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 7ii /I 2L/Oi
in IRC 6325(a),
Tax Period Date of Last D1; for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi 109 of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1991 184-48-3335 06/05/2000 07/05/2010 6450.80
1040 12/31/1992 184-48-3335 04/17/2000 05/17/2010 8663.88
1040 12/31/1993 184-48-3335 04/17/2000 05/17/2010 9686.29
1040 12/31/1994 184-48-3335 04/17/2000 05/17/2010 9559.97
Place of Filing
Prothonotary Total $
Cumberland County 34360.94
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
28th day of May
2001
the
Signature
~~a~
for P ~'fANE (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, Ru/. 71-466, 1971 - 2 C,8, 409)
Part t - Kept By Recording Office Form 66B(Y)(c) (Rev, 10-00)
CAT, NO 60025X
Title
ACS
23-01-0000
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