HomeMy WebLinkAbout03-2744Form 668 (Y)(c)
IRev, October 2000)
Area:
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (800) 829-3903
1008 Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
JSerial Number 111026803
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including inteFest and penalties)
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but Jt remains unpaid. Therefore,
there is a lien in favor of the United States on all property and fights to
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer JAMES & MICHELLE A WRIGHT
Residence 111 MAY DR APT 4
CAMP HILL, PA 17011-5023
IIMPORTANT RELE~E 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 Date of Last Day for
Kind of Tax Ending Identifying Number Assessment Retiring
(a) (b) (c) (d) (e)
For Optional Use by Recording Office
Pz.
Unpaid Balance
of Assessment
(f)
1040
1040
Place of Filing
12/31/1999 176-50-5327 10/29/2001 11/28/2011
12/31/2000 176-50-5327 12/24/2001 01/23/2012
Prothonotary
Cumberland County
Carlisle, PA 17013
Total
6247.06
4939.08
11186.14
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 03rd day of June 2003
Signature ,.-~-~ .;' / "-- /~ I
· ,, , ,: /./ Title
for L 'r~.~,=~.,-~' ~'::: '~ ·' -':' ~"-"/ ACS
I
....... ~ (800)
829-3903
23-00-0008
(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.8. 409)
Part I - Kept By Recording Office Form 668(Y)(c) (Rev. 10-00)
CAT. NO 60025X