HomeMy WebLinkAbout03-6390Form 668 (¥)(c)
(Rev. October 2000)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA ~3
Lien Unit Phone: (80o) 829-3903 144044003
As provided by section 6321, 6322, and 6323 ot 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 o! this liabilky, but it remains unpaid. Therefore,
there is a lien in favo~ of the United States on all proper~y and Fights to
propert~ belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer DAVID ROOT SR
Residence
1008
Department of the Treasury - Internal Revenue Service
Hotice of Federal Tax Lien 390 F r/.
For Optional Use by Recording Office
2247 A RITNER HYW
CARLISLE, PA 17013-9313
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is tel/led 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 Refiiing of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2001 184-46-5197 07/15/2002 08/14/2012 1397.82
1040 12/31/2002 184-46-5197 05/26/2003 06/25/2013 4046.81
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 5444.63
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 18th day of November 2003
f - 23-00-0008
(800) 829-3903
(NOT£: Certificate of officer authorized by law to take ackoowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409)
Form 668(¥)(c) (Rev. 10 00)
Part ! - Kept By Recording Office
CAT. NO 60025X