HomeMy WebLinkAbout10-5238Form 668 (YX0
(Rev. February 2004)
883 -
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number
WAGE & INVESTMENT AREA #1
Lien Unit Phone: (800) 829-7650 684769410
As provided by section 6321, 6322' and 6323 of the Internal Revenue
Code, we are giving a notice that to s (including interest and penalties)
have been assessed against the foll ng-named taxpayer. We have made
a demand for payment of this liabili , 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 or the amount of these taxes, and
additional penalties, interest, and co is that may accrue.
ame of Taxpayer BILLY G &
Residence 862 CARLWYNNE COURT B111
CARLISLE, PA 17013-1529
IMPORTANT RELEASE INFORMA
unless notice of the lien is refiled by the
on the day following such date, opera
in IRC 6325(a).
Kind of Tax
(a) Tax Period
Ending
(b)
Identify
ing Number
(c) Date of
Assessment
d) Last Day for .
Refilling
(e) Unpaid Balance
of Assessment
(f)
1040 12/31/1996 XXX XX-4661 08/06/2001 09/05/2011
1040 12/31/1996 XXX- XX-4661 12/22/2008 01/21/2019 445.00
1040 12/31/1997 XXX? XX-4661 12/15/2008 01/14/2019 5030.16
1040 12/31/2002 XXX? XX-4661 05/26/2003 06/25/2013 1432.91
1040 12/31/2003 XXX' XX-4661 05/31/2004 06/30/2014 2207.32
1040 12/31/2004 XXX XX-4661 11/24/2008 12/24/2018 775.01
1040 12/31/2005 XXX XX-4661 02/16/2009 03/18/2019 272.22
Place of Filing
Prothonotary
Cumberland County
Carlisle, P 17013
Total 1 $ 10162.62
This notice was prepared and signed
the 03rd day of August
For Ootional Use by Recording Ottice
/D -S;qg FTL
)N: For each assessment listed below,
to given in column (e), this notice shall, /q,DO
as a certificate of release as defined
DETROIT, MI
2010
, on this,
Signature
T-? A ATitle
11-00-0000
CS
for DEBRA K. HURST (800) 829-7650
(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 668(Y)(c) (Rev. 2-2004)
Part 11 - Kept By Recording Office CAT. NO 60025X.