HomeMy WebLinkAbout03-2262Form 668 (Y)(c)
IRev. October 2000)
1008
Area: I Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 106629703
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that Uxes (including interest and penalties)
have been assessed against the following-named taxpayeF. We have made
a demand for payment of this liability, but it remains unpaid. Therefore,
there is a lien in favoF of the United States on all property and rights to
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
o3-
For Optional Use by Recording Office
Name of Taxpayer PETER M ZERPHY
Residence
500 W KING ST
SHIPPENSBURG, PA 17257-1616
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
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
in IRC 6325(a).
Kind of Tax
(a)
6721
Place of Filing
Tax Period
Ending
(b)
12/31/1999
Identifying Number
(c)
23-2980690
Date of
Assessment
(d)
10/21/2002
Last Dar~ for
Refihng
(e)
11/20/2012
Prothonotary
Cumberland County
Carlisle, PA 17013
Total
Unpaid Balance
of Assessment
(f)
1196.00
1196.00
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 28th dayof April , 2003
Signature Title
· REVENUE OFFICER 23-11-1455
for ~~_. ~.L---'~-- ./~/ I (61o> 320-5144
(NOTE: Certificate of officer authorized by law to t~,e acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 10-00)
Part 1 - Kept By Recording Office CAT. NO 60025X