HomeMy WebLinkAbout04-0422Form 668 (Y)(c)
{Rev. October 2000)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 152656204
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 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 to
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer R KENNETH MYERS
Residence
1008
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
12 CENTER SQUARE
HANOVER, PA 17331-3001
IMPORTANT RELEASE INFORIqATION: 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 Refihng
(a) (b) (c) (d) (e)
6721 12/31/1997 23-1939760 11/13/2000 12/13/2010
940 12/31/1999 23-1939760 05/05/2003 06/04/2013
Unpaid Balance
of Assessment
(f)
1311.37
198.93
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total
1510.30
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 21st day of
for JOSEPH TETI
January 2004
Title
REVENUE OFFICER
(717) 291-1995
23-10-1862
(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)
Part I - Kept By Recording Office Form &68(Y)(c) (Rev. 10-00)
CAT, NO 6OO25X