HomeMy WebLinkAbout04-2016Form 668 (Y)(¢)
(Rev. February 2004)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
lien Unit Phone: (800) 829-3903 169736804
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we aFe 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 C.~RTE A WALLS
Residence
1008
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien fi"T/-
18 FALCON CT
MECHANICSBURG, PA 17055-4349
IMPORTANT RELEASE INFORt4ATION: 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 12/31/2001 140-80-0961 11/25/2002 12/25/2012
1040 12/31/2002 140-80-0961 12/01/2002 12/31/2012
For Optional Use by Recording Office
/033
Unpaid Balance
of Assessment
(f)
2725.01
3741.46
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total
6466.47
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 27th day of April 2004
Sign e ~', ~
for L LEDER
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 &&8(¥)(¢) (Rev. 2 2004)
Parr ! - Kept By Recording Office CAT. NO 60025X