HomeMy WebLinkAbout03-4002Form 668 (Y)(c)
(Rev. October 2000)
Area: Serial Number
SMALL BUSINESS/S~LF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 125733803
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 ~axpayer. We have made
a demand for payment of this liabliity, buC 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 KIMBERLEE R RLTNKLE
Residence
1442
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
For Optional Use by Recording Office
47 SOUTH 35TH STREET
CAMPHILL, PA 17011-4409
I~IPORTANT RELEASE INFOP-~fATION: For each assessment listed below,
unless notice of the lien is raffled by the date given in column (e), this notice shaJl,
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 Retiling
(a) (b) (c) (d) (e)
6672 03/31/1996 169-44-5580 04/01/1997 05/01/2007
Unpaid Balance
of Assessment
(f)
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $
16128.77
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 24th day of July 2003
REVENUE OFFICER
for VAWN MUSE (610) 891-6011
23-10-2926
(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(Y)(c) (Rev. 10-00)
Par~ I - Kept By Recording Office CAT, NO 60025X
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