HomeMy WebLinkAbout03-2594Form 668 (Y)(c)
(Rev. October 2000)
1008
Serial Number
Department of the Treasury - Interna~ Revenue Service
Notice of Federal Tax Lien
7'~. ~ a , ,~.~ ~'¢ F T L
For Optional Use by Recording Office
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (800) 829-3903
107478803
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 cms liability, but it remains unpaid. Therefore,
there is a lien in favor of the United S~ates on all property and rights to
property belonging to this taxpayer for the amount of these ~axes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer LARRY J WENTZ
Residence
1950A WENTZ DRIVE
ENOLA, PA 17025-1448
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).
Tax Period
Kind of TaxEnding
(a) (b)
1040 12/31/2000
1040 12/31/2001
Place of Filing
Identifying Number
(c)
186-38-3318
186-38-3318
Date of
Assessment
(d)
09/03/2001
11/11/2002
Last Day for
Refiling
(e)
10/03/2011
12/11/2012
Prothonotary
Cumberland County
Carlisle, PA 17013
Total
Unpaid Balance
of Assessment
(f)
2571.75
5650.23
8221.98
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 16th day of May 2003
. ~+f__l.x~,/~.~ "~'"'-/'--.-~-,::Z'.-..--,/.'/. I ACS 23-00-0008
zor L LED~R // ] (800) 829-3903
(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(¥)(c) (Rev. 10-00)
Parz I - Kept By Recording Office CAT. NO 60025X