HomeMy WebLinkAbout03-63871008
Form668 (Y)(c)
(Rev. October2000)
Area: Serial Number
WAGE & INVESTMENT AREA #2
Lien Unit Phone: (800) 829-7650 144720203
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 foliowingmamed 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 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 JEFF B CONLEY
Department of the Treasury - internal Revenue Service
Notice of Federal Tax LJen
For Optiona~ Use by Recording Office
Residence 322 3RD ST APT 1
NEW CUMBERLAND, PA 17070-2113
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).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Retiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1989 194-52-4259 10/03/1994 11/02/2004 4981.43
1040 12/31/1991 194-52-4259 10/03/1994 11/02/2004 1691.53
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 6672.96
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 21st day of November 2003
Sig na'~e .
ACS 12-00-0000
(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. Rul. 71-466, 1971 - 2 C.B. 409)
Form 668(Y)(c) (Rev. 10-O0)
Part I - Kept By Recording Office
CAT. NO 60025X