HomeMy WebLinkAbout01-1695499
Form 668 (Y)(c)
(Rev. October 2000)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
lien Unit Phone: (800) 829-3903 230171921
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are s~'ing 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, buc Jc remains unpaid. Therefore,
chafe is a lien in favor of the United States on all property and rights co
property belonging to cms taxpayer for the amount of chose taxes, and
additional penalties, interest, and costs thac may accrue.
Name of Taxpayer DAVID WILEY
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Residence
For Optional Use by Recording Office
115 HIGH MT RD
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, ~_.~ /J~
on the day following such date, operate as a certificate of release as definedin IRC 6325(a).
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Retiring of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1996 166-54-2327 06/02/1997 07/02/2007 255.68
1040 12/31/1997 166-54-2327 05/18/1998 06/17/2008 828.05
1040 12/31/1998 166-54-2327 06/04/1999 07/04/2009
1040 12/31/1998 166-54-2327 07/05/1999 08/04/2009 6591.37
1040 12/31/1999 166-54-2327 06/15/2000 07/15/2010 2644.35
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total
10319.45
This notice was prepared and signed at
PITTSBURGH, PA
· on this,
the 07th dayof March 2001
Signature / ~ ., , /> ~ ) · ¢ Title
/. ' '. ~: ,~ ......; ',,,,¢ ::,~"-~.~ ACS 23-01-0008
for L G DOWD (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 668(Y)(¢) (Rev. 10-00)
Part ! - Kept By Recording Office CAT. NO 60025X