HomeMy WebLinkAbout04-3362Form 668 (Y)(c)
(Rev. February 2004)
Area: I Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (S00) 829-3903 177248104
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 against the following-named ~axpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore,
there is a lien in favor of the United Srmtes on all property and rights to
property belonging to this taxpayer for the amount of these rmxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer JIMMY D CALLOWA¥
Residence
1008
Department of the Treasury ~ Interna~ Revenue Service
Notice of Federal Tax Lien
~o~ ODtiona] Use by ~e¢ordi~ Office
66 E ST APT 2
CARLISLE, PA 17013-1453
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (e), this notice shell,
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
Tax Period Date of Last Day ~r
~nd of Tax Ending Identifying Number Assessment Refiling
(a) (b) (c) (d) (e)
1040 12/31/1990 412-21-1593 06/03/1996 07/03/2006
1040 12/31/1997 412-21-1593 04/29/2002 05/29/2012
1040 12/31/1998 412-21-1593 04/08/2002 05/08/2012
1040 12/31/1999 412-21-1593 03/11/2002 04/10/2012
Unpaid Balance
ofAssessment
(0
882.19
1364.69
2168.93
1449.76
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total
5865.57
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 15th day of June 2004
for L LEDER
Title
ACS
(800)
829-3903
23-00-0008
(NOTE: Certificate ofofficerauthorized bylaw totake acknowledgmentis notessentialtothe validity of Notice of FederalTaxlien
Rev, Rul, 71 466,1971- 2 C.B. 409)
Pa~ I- Kept By Recording Office Form 668(Y)(c)lRev. 2 2004)
CAT. NO 60025X