HomeMy WebLinkAbout01-2987 Form 668 (Y) (c) I Department of the'rra~eury - Internal Revenue Service
I Notice of Federal Tax Lien -
District .,~F;,&; Number For Optional Use by Regordlng
Pf.,-~'E~SYLVANTA 2301 754 45
As provided by sections 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (Including interest and penMtles)
have been assessed against the following-named taxpayer. We have made
s demand for payment of this liability, but it remains unpaid. Therefore
there is a lien in favor of the Unitad States on all prpperty and righta to
property belonging to this taxpayer for the amount of these taxes, and c) ¢:.:
additional penalties, Interest, and costs that may accrue. ~:
;;~-,,~ of Taxpayer '~.'-
;.~ ..:
ROSP_~RT R. NACE: ,,'.
r,,,o,,,m,.,, 919 WEST 'I'RINDLm. ROAD
MECHANICSBURG, PA 17055 .~-.'.
IMPORTANT RELI:ASE INFORMATION: For each assessment listed below, -~' ~, ..i.:
unless notice of lien is refiled by the date given in column (e), this notice shall,
on the da), following such date, operate as a certificate of release as defined in
IFIC 6325(a).
Kind of Tax Tax Period Ende Identifying Number Date of I.~st Day for Unpaid Balance of
(a) (b) (c) Assessment Reflllng Assessment
(d) (e)
1040 12/31/1994 187-44-9749 8/10/1998 9/9/2008 $5417.88
Place of ~n~ Prothonotary
Cumberland County Totel $ 5417.88
Carlisle, PA
This notice was prepared and signed at HARRISBURG, PA
, on this,
the 17th day of Nay 2001 .
i
~ REVENUE O~FICER
PART 1 - KEPT s¥ R~CO~m'N~ O~=1C! Fomt ~6~ (Y) (~) (Rev. 8-97}
CAT. NO 60025X
Form 6'68 (Y) (c) I Department of the Treaaury- Internal Revenue Servlc~ F~.~'~' /
Notice of Federal Tax Lien
District Serial Number For Optional U~e by Recording
2301 754 45
PF.t~SY~VANTA 3%~ 0 J - 2. q ~' q 1~. 1-./..
Aa provided by sections 6:321, 6322, and 6323 of the Internal Revenue
Code, we ere giving a notice that taxes (Including interest and penaltlee)
have been assessed against the following-named taxpayer. We have made
a demand for payment of thla liability, but It remains unpaid. Therefore,
there Is e lien In favor of the United States on all property and rlghta to
property belonging to this taxpayer for the amount of these taxes, and ~ ,.-:; --,
additional panaltlee, Interest, and costs that may accrue. .:~:
Name of'raxpayer n r.
Residence 919 WEST TRINDLR ROAD ~.~... : ..
MgCF, ANI~BUEG, PA 17055 >-~-... F:~ · ·
~ -' .'.~:
I IMPORTANT RELEASE INFORMATION: For each assessment listed below, I ~ '-"
unless notice of lien is raffled by the date given in column (e), this notice shall,
on t~¥e-)day following such date, operate as a certificate of release as defined in
IRC
Kind of'Tax Tax Period Ended Identifying Number Date ct Last Day for Unpaid Balance ct
Aasessment Reflllng Aaseeament
10ZIO~/ 12/31/1994 187-44-9749 8/10/1998 9/9/2008 $5417.88
TRUE COPY FROM RECORD
~ T~imaey wMn, I, I k~e unt0 ,al m~ Mai
· Pla~ of Fllln l~rct:hono~ry
Cumberlan~ County Total I $5417.88
Carliele, PA
This notice was prepared and signed at BAERTSBURG, PA , on this,
?..
the 17t. h day of May 2001 .
R~VE~]UE OFEICER
(NOTE: (3er3~cate ef ~licer augto4zed by law m take acknovaedgments is not essen~al to ~e validliy o( Ncfd~e of Federal Tax Mn R~. Rul. 7;.466, 1971.2 ~B~ 409)
PART 1 - KEFT ay R~mDiNe O/m(~ F(Nm e6e (Y)'(e) (l~w. 8-e7)
· : ......................... .