HomeMy WebLinkAbout01-2748 I 4 9 9 Department of the Treasury - Internal Revenue Service
Form 668 (Y)¢c) Notice of Federal Tax Lien
{Rev. October 2000)
Area: I Serial Number For Optional Usa by Recording Office
SMALL BUSTNESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412)395-5265 230174359
,is provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are siring a notice that texes (inciudbg interest and penalties)
have been assessed afalnst the following-named taxpayer. We have made
a demand for payment of chis riabriky, bur it FemaJns unpaid. Therefore,
there is a lien In favor of the United States on all property and debts m ~ '7.'~
property belonsing co thb texpayer for the amount of these texes, and ~ '.%. ....
additional penalties, Interest, and costs that may accrue. -~ ~:,' ::''-
Name of Taxpayer THOMAS A & LINDA J BOCH '~.~:~... .
~:.~'.:'. :.~..'~.
Residence 35 SKYLINE DR -'~-' ~ .",
MECHANICSBURG, PA 17055-1751 ~:, '.,'~ .~'-
IIMPORTANT RELEASE INFORMATION: For each assessment listed below,
urdess notice of the lien is raffled by the date given in column {e), this notice shell,
Tan Period Date of Last Day for UnpeM Balance
Kind of Tax Ending Identifying Number Assessment Retiring of Assessment
(a) (b) (c) (d) (e)
1040 12/31/1996 410-80-4475 09/01/1997 10/01/2007 616.67
1040 12/31/1 9 410-.0-447 06/0 /2000 07/0 /2010 4 114.
PlaceofFiling
Prothonotary Total
Cumberland County 49731.26
Carlisle, PA 17013
This notice was prepared and signed at PITTSBURGH, PA , on this,
the 26th dayof April 2001
Signature Title
Revenue Officer 23-01-1441
for D. ZMUDZIN (717) 221-3490
(MOTE: 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)(¢) IRev. 10-00)
Part I - Kep~ By RKordln~ Office CAT. NO 60025X