HomeMy WebLinkAbout01-0935Form 668 ~¥)(¢)
499
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (800) 829-3903 230170461
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that ~axe$ (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 righCs to
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that ma), accrue.
Name of Taxpayer GALEN E ALLEN
Residence
165 KLINE RD
S~IPPENSBURG, PA 17257-9649
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 da,/ following such date, operate as a certificate of release as defined
in IRC 6325(a).
Tax Period Date of
Kind of Tax Ending Identifying Number Assessment
(a) (b) (c) (d)
1040 12/31/1989 205-36-8786 06/13/1994
For Optional Use by Recording Office
Last Day for Unpaid Balance
Reft]lng of Assessment
(e)
07/13/2004 558.66
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total
558.66
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the 06th day of February 2001
Signature ~ ~ Title
~ ACS 23 -01-0008
for L G DOWD (800) 829-3903
(NO'I'E: 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(¥)(c) (Rev. 10-00)
Par~ 1 - Kep~ ~y Recording Office CAT. NO 60025X