HomeMy WebLinkAbout04-0424Form 668 (Y)(c)
(Rev. October 2000)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (800) 829-3903 151268504
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice chat ~axes (including interest and penalties)
have been assessed against the followingmamed 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 THOMAS L MILLER DECD
1008
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
For Optional Use by Recording Office
C~
Residence 10 E HIGI-I ST
CARLISLE, PA 17013-3015
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
Kind of Tax Ending Identifying Number Assessment Retiring
(a) (b) (c) (d) (e)
1040 12/31/2002 430-96-5570 10/13/2003 11/12/2013
Unpaid Balance
of .assessment
(f)
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 2087.31
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 13th day of January 2004
Title
ACS
(800)
829-3903
23-00-0008
(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 &68(Y)(c) (Rev. 10-00)
Part 11 - Kept By Recording Office CAT. NO 60025X