HomeMy WebLinkAbout01-03404
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 & lNVESTMENT AREA #2 #01- 3LJ(J'lj ~
Lien Unit Phone: (800) 829-7650 230175942
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, a ~
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 -;::-
?fl~~
-a~ ~ ':s~
additional penalties, interest, and costs that may accrue. \~ 1-
Name of Taxpayer R GORDON HARGLERODE 0:).
~-t,-"t\
6:):1
.cO ~ 'z,~
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Residenc", 12 LENWOOD PARK 7~ ~ ~
SHIPPENSBURG, PA 17257-8800 r..:> :;<:;
~ ..s:>
IMPORTANT RELEASE INFORMATION: For each assessment listed below, D(1 cJ3d
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 ~4f l( ;l LfC ~
in IRe 6325(a).
Tax Period Date of Last Da.r; for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi ng of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1994 159-24-7614 OS/29/1995 06/28/2005 2477.21
1040 12/31/1995 159-24-7614 OS/27/1996 06/26/2006 1169.98
1040 12/31/1996 159-24-7614 OS/26/1997 06/25/2007 2120.23
1040 12/31/1997 159-24-7614 OS/25/1998 06/24/2008 3057.43
Place of l'i1ing
Prothonotary Total $
Cumberland County 8824.85
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the
28th day of May
2001
Signature
(?~ a ~
for P S LikE (800) 829-7650
(NOrE: 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 1 . Kept By Recording Office Form 668(Y)(c) (Rev, 10-001
CAT, NO 60025X
Title
ACS
23-01-0000
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