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Department of the Treasury - Internal Revenue Service
Form 668 '(Y)(c)
(Rev. October 2000) Notice of Federal Tax Lien
Area: Serial Number For Optional Use y R~cording Office
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (800) 829-3903 230182328 7'~. ~gJ- ~, "/~7,~ F~,l~', ~,~
I
As provided by section 6321, 6322, and 6323 of the Internal Revenm
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 SCOTT R YOUNG
Residence 252 LINCOLN DR
CO
NEW CUMBERLND, PA 17070-2828
-_~,~ · ~-~
INPORTANT RELEASE INFORI'IATION: For each assessment listed below, ~' ~o ~:,~"~1
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 Mi id Balance
Kind of Tax Ending Identifying Number Assessment Retiring c~ ~ isessment
(a) (b) (c) (d) (e)
1040 12/31/1992 270-44-3781 05/31/1993 06/30/2003 1047.20
Place of Filing
Prothonotary
Cumberland County Total $ 1047.20
Carlisle, PA 17013
This notice was prepared and signed at PITTSBURGH, PA , on this,
~he 16th day of November 2001
Signature ~?~ ~ / /','~ Title
'~r' '~ ...............~ ~'"' ''~'~*' ACS : 3-01-0008
for L G DOWD " - ~' (800) 829-3903
(~O¥~: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Fec eral Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409)
Part ! - Kept By Recordins' Office Form 668 ~')( :) (Rev. 10-00)
C.~ T. NO 60025X