HomeMy WebLinkAbout01-06061
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2802
Form 668 (Y)(c) Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
(Rev. October 2000)
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3 11.0 01- l,.Oc. I
Lien Unit Phone: (412) 395-5265 230180679
As provided by section 6321, 6322, and 6323 of the Internal Revenue h. - · I/Ila fJ-1i
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made C/I- ,33.b
a demand for payment of this liability, but it remains unpaid. Therefore, ~ / / ,pM?
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 C)
additional penalties, interest, and costs that may accrue. c - .CT'j"
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Name of Taxpayer RAYMOND J SHANNON \)0] C"J
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Residence ~ q
l277 SANDY LANE <:"".....-' -0
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BOILING SPRINGS, PA 17007 ~
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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 IRe 6325(a).
Tax Period Date of Last D'jT. for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refi mg of Assessment
(a) (b) (c) (d) (e) (n
l040 l2/3l/l998 ll9-32-8524 09/04/2000 10/04/2010 30077.34
1040 12/31/1999 ll9-32-8524 10/16/2000 ll/15/2010 64367.47
Place of Filing
Prothonotary Total $
Cumberland County 94444.81
Carlisle, PA 17013
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the
04th day of October
2001
,
S t I' . Title
igna ure r;:;;bCwl_t../!:J't;;._ ; BRANCH CHIEF
for P. WILSON i (412) 395-5265
(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 G.B_ 4091 Form 668(Y)(c) IRev. 10-001
Part I - Kept By Recording Office CAT, NO 60025X
23-01-0061
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