HomeMy WebLinkAbout04-2357Form 668 (Y)(c)
(Rev. February 2004)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 171821904
AS provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice ChaC taxes (including interest and penalties)
have been assessed apinsC the following-named taxpayer. We have made
a demand for payment of chis liability, buc ic remains unpaid. TheFefore,
there is a lien in favor of the United States on all pFoperty and rights co
property belonging co chis taxpayer for the amount of these taxes, and
additional penalties, interest, and costs thac may accrue.
Name of Taxpayer PATRICK A DEALY
Residence
1442
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
For Optional Use by Recording Office
615 BRIDGE ST APT 2
NEW CUMBERLAND, PA 17070-1933
IIqPORTANT RELEASE INFOEMATION: 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 Unpaid Balance
Kind of Tax Ending Identifying Number ASsessment Reflflng of ASsessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1953 194-50-5941 11/24/1997 12/24/2007 4741.45
1040 12/31/1994 194-50-5941 11/10/1997 12/10/2007 825.00
1040 12/31/1995 194-50-5941 11/10/1997 12/10/2007 732.09
1040 12/31/1996 194-50-5941 05/19/1997 06/18/2007 1522.15
1040 12/31/2002 194-50-5941 05/26/2003 06/25/2013 799.34
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 8620.03
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 10th day of May 2004
S~ture~ ~3', Title
~ ~-,'~ ACS 23-00-0008
~ ' ~'~/~; (800> 829-3903
(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&dS(Y)(¢) (Rev. 2-2004)
Par~ I - Kept ~ Recording O~ce CAT. NO 60025X