HomeMy WebLinkAbout01-1698Form 668 (Y)(c)
{Rev. October 2000)
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: (412) 395-5265 230172072
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed a~ainst 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 ail property and rights to
property belon~in8 to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer CHARLES W. WILEY JR. D/B/A WILEY' S DEL=
Residence
200 MOUNTAIN RD
LEWISBERRY, PA 17339
Last Day for
Refillng
(e)
IMPORTANT RELEASE INFORlqATION: 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
Kind of Tax Ending Identifying Number Assessment
(a) (b) (c) (d)
941 09/30/2000 25-1354732 12/18/2000
For Optional Use by Recording Office
01/17/2011
Unpaid Balance
of Assessment
(f)
6734.75
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total
6734.75
This notice was prepared and signed at
PITTSBURGH, PA
, on this,
the 08th day of March 2001
for C. WHITE .....
Title
Revenue Officer 23-01-1844
(717) 291-1995 x137
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essentiat to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C,B. 409)
Form 6&8(Y)(c) (Rev. 10-00)
Part I - Kept By Recording Office CAT. NO 6OO25X