HomeMy WebLinkAbout03-2743Form 668 (Y)(c)
(Rev. October 2000)
Area: J Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
tien Unit Phone: (8o0) 829-3903 111026703
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 Uxpayer. We have made
a demand for payment of this liabJliW, buC Jt remains unpaid. Therefore,
there is a lien in favor of the United States on all property and rights to
properly belonsing to this ~axpayeF for the amount of these ~axes, and
1008
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
7L~,o3. ,2'?Y3 rTL.
For Optional Use by Recording Office
additional penalties, interest, and costs that may accrue.
Name of Taxpayer J~MES R WRIGHT
Residence 111 MAY DR APT 4
CAMP HILL, PA 17011-5023
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)
1040
Place of Filing
Tax Period
Ending
(b)
12/31/2001
Identifying Number
(c)
176-50-5327
Date of
Assessment
(d)
09/23/2002
Last Day for
Retiring
(e)
10/23/2012
Prothonotary
Cumberland County
Carlisle, PA 17013
Total
Unpaid Balance
of Assessment
(f)
19879.20
19879.20
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 03rd day of June 2003
Signature ~, / // ' Title
, , ACS 23-00-0008
,' _--~--~' ........ /~/ (800) 829-3903
8er. ~uL 71-4~, ~97~ - 2 C.8. 409) ~o~ 66e(Y)(~) mev. 10-00)
Pa~ I - Kept By Recording O~ce CAT. NO 60025X