HomeMy WebLinkAbout07-1857
3355
Form 668 (Y)(C)
(Rev. February 2004)
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
I'lc,o 7. J FS7 FIt--
Area: Serial Number
WAGE & INVESTMENT AREA # 1
Lien Unit Phone: (800) 829-7650 353922707
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,
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
additional penalties, interest, and costs that may accrue.
Name of Taxpayer DENNIS CONSTANTINOU
For Optional Use by Recording Office
JfJ. 12 II ~/4,tJt.J
Ck. 133tf~
te."-,, I 'if/) 7~
Residence
344 N FRONT ST
WORMLEYSBURG/ PA 17043-1112
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).
Kind of Tax
(a)
1040
Tax Period
Ending
(b)
12/31/2003
Identifying Number
(c)
XXX-XX-0111
Date of
Assessment
(d)
12/19/2005
Last Day for
Refiling
(e)
01/18/2016
Unpaid Balance
of Assessment
(f)
16918.39
Place of Filing
Prothonotary
Cumberland County
Carlisle/ PA 17013
Total $
This notice was prepared and signed at
DETROIT/ MI
the
27th day of March
2007
Signature
Title
ACS
(800) 829-7650
11-00-0000
for DEBRA K. HURST
(:1
C
r'
.:--,~
.~
16918.39
""
<=:::>
=
-.....
::.
v
;'v
I
.&:-
o
."
=;:1
nl :rJ
r
;; rri
:;';'0
.-.-..., j
"=:C)
~J~ =r;-
~:;; 0
,:.5 m
);!
:n
-<
-0
:J:'
r~
W
en
, on this,
Part j - Kept By Recording Office
(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 C.B. 409)
Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X