HomeMy WebLinkAbout04-3354Form 668 (Y)(c)
(Rev. February 2004)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA
Lien Unit Phone: (800) 829-3903 177789504
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice chat taxes (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 rights to
property belonging to this uxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer DAVID WILEY
1008
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
7'~ o¥. 33g~ FTL
For Optionat Use by Recording Office
Residence 2258 PINE RD
NEWVILLE, PA 17241-9526
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is rallied by the date given in column (e), this notice shall,
on the day foltowing such date, operate as a certificate of release as defined
in IRC 6325(a).
Tax Period Dace of Last Day for
Kind of Tax Ending Identifying Number Assessment Retiring
(a) (b) (c) (d) (e)
1040 12/31/2002 166-54-2327 05/26/2003 06/25/2013
Unpaid Balance
of Assessment
(f)
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 7938.64
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 17th day of June 2004
Title
ACS
(800)
829-3903
23-00-0008
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rut. 71-466, 1971 - 2 C,B. 409)
Form &68(Y)(¢) (Rev. 2-2004)
Part I - Kept By Recording Office CAT. NO 60025X