HomeMy WebLinkAbout01-05720Form 668 (Y)(c)
IRev. October 20001
499
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3
230180284 t5/~
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Lien Unit Phone: (412) 395-5265 o.
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties) nn
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have been assessed against the following-named taxpayer. We have made •
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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 ~ ` 3 / y
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue. ~ J~~lL3 r ~'
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Name of Taxpayer TROY A BEAM 'c C
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Residence 401 SHIPPENSBURG RD ~m^~ :
SHIPPENSBURG, PA 17257-8617
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, _;1 ~~ ~i
unless notice of the lien is refiled by the date given in column lel, this notice shall,
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) e) (f)
1040 12/31/1992 187-56-2949 10/04/1993 11/03/2003
1040 12/31/1992 187-56-2949 07/26/1999 08/25/2009 19291.18
Place of Filing
Prothonotary Total $
Cumberland County 19291.18
Carlisle, PA 17013
This notice was prepared and signed at PITTSBURGH, PA
the 24th day of September 2001
on this,
Signature ,~ ~~ ~ I Title
' ~" ^•-_- '~'--;;.~,.,,-„ Revenue Officer 23-01-1441
for D. 2MUDZIN (717) 221-3490
(NOTE: Certificate of officer authorized by law to take 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. 10-001
Part 1 - Kept BY Recording Office CAT. NO 60025X