HomeMy WebLinkAbout01-3036 I 499 Department of the Treasury - Internal Revenue Service
Form &&8 (Y)(c) Notice of Federal Tax Lien
Iflev. October 2000)
Area: I Serial Number For Optional Use by Recording Office
Lien Unit Phone: (800) 829-3903 230174976
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are 81vins a notice thac taxes (includlns Inrarest and penakbs)
have been messed aaalnst the followina~named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore ~ ,-
~.- ~-..
there b a lien in favor of the United States on all property and dfhcs to -~; ?.
property belonf.4ns to thb uxpeyer for the amonn¢ of these uxes, and L,.,,
addlclonal penalties, interest, and cosu that may accrue.
Name of Taxpayer DONALD R CLITES -.:
Residence 615 W OLD YORK RD -..~ ~.- '.:
CARLISLE, PA 17013-9155
I .
~4~RI'A~T RELEA$' ,.FoIn~ATIO.: For each assessment listed betow.
unless notice of the lien is refiled by the date given in column (s), this notice shall,
on the day following such date, operate as a certificate of release as defined . _
,. ,.c
Kind of 1'an Endln~ Idendfyln~ Number Assessment Raffling of Assessment
(a) (b) (c) (d) (e)
1040 12/31/1991 167-40-1663 05/29/1995 06/28/2005 2139.38
1040 12/31/1992 167-40-1663 04/10/1995 05/10/2005 307.70
1040 12/31/1993 167-40-1663 04/17/1995 05/17/2005 3003.25
PlaceofFiling
Prothonotary Total $
Cumberland County 5450.33
Carlisle, PA 17013
This notice was prepared and signed at PITTSBURGH, PA , on this,
the 08th day of May 2001
'"' ~ Title
Signature ! ACS 23 - 01 - 0008
for L G DOWD (800) 829-3903
(NOTE: 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 &&g(Y)(c) (Rev. 10-00)
Par~ I - ECeI~ By P, eeolYIIng Office CAT. NO 60025X