HomeMy WebLinkAbout01-6217 499
Form 668 (Y)(c)
(Rev. October 2000)
Area:
WAGE & INVESTMENT AREA #2
lien Unit Phone: (800) 829-7650
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
ISerial Number 230181103
As provMed by section 632l, 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 co
propeFty belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs char may accrue.
Name of Taxpayer KELLY L CORBITT
Residence 4616 CLEARVIEW DR
CAMP HILL, PA 17011-4012
For Optional Use by Recording Office
flqPORTANT RELEASE INFORHATION: 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
I in IRC 6325(a).
Tax Period
Ending
12/31/1995
12/31/1996
Kind of Tax
1040
1040
Place of Filing
Identifying Number
204-56-0330
204-56-0330
Date of
Assessment
o9/14/1998
09/14/1998
Prothonotary
Cumberland County
Carlisle, PA 17013
Last Day for
Retiring
10/14/2008
10/14/2008
Total
Unpaid Balance
of Assessment
3933.12
4350.03
8283.15
This notice was prepared and signed at
PITTSBURGH, PA
· on this,
the 18th day of October 2001
Signature ~,)~ ~ ACS Title
for P S LANE ~
23-01-0000
(800) 829-7650
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Ruh 71-466, 1971 - 2 C.B. 409) Form 668(¥)(c) (Rev. 10-00)
Part I - Kept By Recording Office CAT. NO 60025X